Basic Information
| Provider Information | |||||||||
| NPI: | 1164838892 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BISHOP | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 BEL VISTA DR | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 400692500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594819008 | ||||||||
| FaxNumber: | 8594819004 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 BEL VISTA DR | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 400692500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594819008 | ||||||||
| FaxNumber: | 8594819004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2014 | ||||||||
| LastUpdateDate: | 07/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 005313 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.