Provider Demographics
NPI:1912880766
Name:GROEBNER, JULIA NICOLE I
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:NICOLE
Last Name:GROEBNER
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 S MAC ARTHUR LN APT 6
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5409
Mailing Address - Country:US
Mailing Address - Phone:507-430-3864
Mailing Address - Fax:
Practice Address - Street 1:4901 S MAC ARTHUR LN APT 6
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5409
Practice Address - Country:US
Practice Address - Phone:507-430-3864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist