About Us

Julie Paull started her occupational therapy career in 1983. She has worked in Spokane-area hospitals providing inpatient and outpatient rehabilitation care. She has also instructed patients in re-learning how to drive after sustaining an injury. Julie has specialized in the evaluation and treatment of hand and upper extremity injuries and conditions since 1993 and has provided this kind of care in both private and hospital settings. In September 1996, Julie opened Applause Hand Therapy on the South Hill.

Denise Wagner is our Office Manager. She comes with many years of experience both on the west and east side of the state. She began her career with a very large hospital corporation before moving to the Spokane area to raise her family. She stayed in the large hospital organization shooting up to the top of many ladders before eventually becoming part of our family here at Applause Hand Therapy. Denise runs all aspects of this office, so if you have any questions about mostly everything including course of care, communication between us and your providers office, insurance, billing, bookkeeping, etc. she is happy to assist you.

Receptionists Brenda and Kristen greet our guests and help keep things organized. They will be happy to check insurance benefits or get you a cup of tea. Our team will welcome you, treat you with respect and dignity, and provide a calm, comforting and healing environment.


Over the years, Julie has completed many hours of continuing education in the area of upper extremity and hand rehabilitation. In 2010, Julie became a certified ASTYM provider. ASTYM is a treatment that reorganizes scar tissue, regenerates degenerative or dysfunctional tissues and stimulates the body's own healing response. It is helpful for treating tendinitis, carpal tunnel and overuse injuries.


Applause is a preferred provider for most insurances.