Provider Demographics
NPI:1992309355
Name:THOENES, JULIA MARIE (ATC/LAT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MARIE
Last Name:THOENES
Suffix:
Gender:F
Credentials:ATC/LAT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MARIE
Other - Last Name:NICHOLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC/LAT
Mailing Address - Street 1:25 W CALLE CONCORDIA
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-8505
Mailing Address - Country:US
Mailing Address - Phone:520-696-5000
Mailing Address - Fax:
Practice Address - Street 1:25 W CALLE CONCORDIA
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-8505
Practice Address - Country:US
Practice Address - Phone:520-696-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0015942255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer