Provider Demographics
NPI:1245325216
Name:KINNEY, JULIE A (DPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:KINNEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 EAST RD
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-3115
Mailing Address - Country:US
Mailing Address - Phone:603-382-8586
Mailing Address - Fax:603-382-1850
Practice Address - Street 1:17 EAST RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3115
Practice Address - Country:US
Practice Address - Phone:603-382-8586
Practice Address - Fax:603-382-1850
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2775225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3087338Medicaid