| Organization Name: | JULIA PHILLIPS |
| NPI Number: | 1962767038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIA LYNN PHILLIPS (DIETECHNISIAN) |
| Mailing Address: | 321 Big Arch Rd. Godfrey |
| State: | IL US |
| Postal Code: | 62035 |
| Phone Number: | 6189735832 |
| Fax Number: | 6184331556 |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 136A00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietetic Technician, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate |