Provider Demographics
NPI:1588740328
Name:PRASHER, JULIE K (PT)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:K
Last Name:PRASHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:K
Other - Last Name:MOELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3004 GOLF RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:715-834-4516
Mailing Address - Fax:715-834-0552
Practice Address - Street 1:3004 GOLF RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701
Practice Address - Country:US
Practice Address - Phone:715-834-4516
Practice Address - Fax:715-834-0552
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5209024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist