Julia Elise Mazzarella, PT, DPT, PHD
Individual provider Active NPI Physical Therapist · Clinton, MT
NPI 1073366324 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1073366324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 27240 (MT)
- Practice address
- 21350 Wallace Creek Rd
Clinton, MT 59825-9695 - Phone
- (860) 670-7458
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27240 | MT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27240 | MT | Yes |
Addresses
Primary practice location
21350 Wallace Creek Rd
Clinton, MT 59825-9695
Mailing address
21350 Wallace Creek Rd
Clinton, MT 59825-9695
Other providers in Clinton, MT
- Marsha D Davis
- Sydney Grace Denning
- Chantal Marie Gougeon
- Horizon Physical Therapy, PLLC
- Kindle Lewis
- Nan'Cee Neer-Labbe
- Jan Bristow Newman
- Erica Noble
- Kerry Lynn Showalter
- Smile Care PLLC
All providers in Clinton, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.