Provider Demographics
NPI:1447444815
Name:STONE, JULEANNE MARIE (PT)
Entity type:Individual
Prefix:
First Name:JULEANNE
Middle Name:MARIE
Last Name:STONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULEANNE
Other - Middle Name:
Other - Last Name:BIRDD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:900 N VIRGINIA STREET
Mailing Address - Street 2:UNR SPORTS MEDICINE COMPLEX
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-784-1999
Mailing Address - Fax:775-784-1995
Practice Address - Street 1:900 N VIRGINIA STREET
Practice Address - Street 2:UNR SPORTS MEDICINE COMPLEX
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-784-1999
Practice Address - Fax:775-784-1995
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1835225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV104639Medicare UPIN