Individual ProviderJulie L TindallPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15810 S 45th St, Suite 105, Phoenix, AZ 85048(480) 893-1321PECOS EnrollmentBased on the most recent information from CMS, provider Julie L Tindall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1700930963Provider TypeIndividualFull NameTindall, Julie LTitleMrs.CredentialPT PHYSICAL THERAPISGenderFemaleSole ProprietorNoEnumeration Date1/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address15810 S 45th St, Suite 105, Phoenix, AZ 85048Phone(480) 893-1321Fax(480) 893-3148Mailing LocationMailing Address15810 S 45th St, Suite 105, Phoenix, AZ 85048Phone(480) 893-1321Fax(480) 893-3148Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2523ArizonaProvider IdentifiersIDDescriptionIssuerID5403659DescriptionOtherIssuerAETNAID2Z0482DescriptionOtherIssuerHEALTHNETID0462920DescriptionOtherIssuerBCBS