Individual
JULIE LIGHT
Active
Individual
JULIE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021019717
MO
225100000X
Physical Therapist
7274
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019019041
RN LICENSE
MO
01
—
2021019717
PT LICENSE
MO
01
—
7274
PT LICENSE
ID
Enumeration date
12/28/2021
Last updated
12/28/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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