Provider Demographics
NPI:1285807057
Name:MASSEY, JULIA ANN (PTA, BS)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:MASSEY
Suffix:
Gender:F
Credentials:PTA, BS
Other - Prefix:
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Mailing Address - Street 1:7429 SPRING RUN DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3571
Mailing Address - Country:US
Mailing Address - Phone:502-836-8704
Mailing Address - Fax:502-762-1416
Practice Address - Street 1:727 MOUNT TABOR RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6951
Practice Address - Country:US
Practice Address - Phone:812-945-2453
Practice Address - Fax:812-945-2453
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06001709A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant