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 3 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