Provider Demographics
NPI:1144230111
Name:STRATTON, NATALIE (PT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:STRATTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3708
Mailing Address - Country:US
Mailing Address - Phone:217-222-6800
Mailing Address - Fax:217-222-0037
Practice Address - Street 1:3032 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3708
Practice Address - Country:US
Practice Address - Phone:217-222-6800
Practice Address - Fax:217-222-0037
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK16367Medicare PIN
ILL84471Medicare PIN