Provider Demographics
NPI:1942048921
Name:KNAUS, JULIE (CMT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KNAUS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9959 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2857
Mailing Address - Country:US
Mailing Address - Phone:303-408-4098
Mailing Address - Fax:
Practice Address - Street 1:1363 DONLON ST STE 12
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5638
Practice Address - Country:US
Practice Address - Phone:303-408-4098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79785225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist