MRS. JULIE CALLICUTT M.ED. E.I. ITFS NPI 1790981793

NPI Information

NPI: 1790981793
Provider Name: MRS. JULIE CALLICUTT, M.ED., E.I., ITFS
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
5307 BROADMOOR PL
GREENSBORO, NC
ZIP 27410
Phone: (336) 908-4151
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MRS. Julie Callicutt, M.ED., E.I., ITFS is a rehabilitation practitioner in Greensboro, NC. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MRS. Julie Callicutt, M.ED., E.I., ITFS NPI is 1790981793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5307 BROADMOOR PL
GREENSBORO, NC
ZIP 27410-420
Phone: (336) 908-4151

The enumeration date for this NPI number is 6/26/2007 and was last updated on 2/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8200082K	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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