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Dr. Julie Lee Restad, D.C.

Chiropractor in Middleton, ID. Individual provider (NPI-1).

NPI number1265633192
StatusActive
Last updated in NPPESOct 6, 2022

Details

NPI
1265633192
Entity type
Individual (NPI-1)
Name
Dr. Julie Lee Restad
Credential
D.C.
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2007
Certification date
Oct 6, 2022
Last updated
Oct 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCHIA-2135IDYes
111N00000X ChiropractorDC29715CA

Practice location

1012 W Main St
Middleton, ID 83644-5270

Phone 208-402-8002

Mailing address

1012 W Main St
Middleton, ID 83644-5270

Phone 208-402-8002

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