Provider Demographics
NPI:1003037649
Name:SAFFELS, NATHAN GABRIEL (MPT, PT, OCS, SCS)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:GABRIEL
Last Name:SAFFELS
Suffix:
Gender:M
Credentials:MPT, PT, OCS, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4865 N MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2476
Mailing Address - Country:US
Mailing Address - Phone:956-994-0177
Mailing Address - Fax:956-994-8188
Practice Address - Street 1:4865 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2476
Practice Address - Country:US
Practice Address - Phone:956-994-0177
Practice Address - Fax:956-994-8188
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11250372251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic