Provider Demographics
NPI:1184040784
Name:BELT, NATALIE J (COTA/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:J
Last Name:BELT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4743 EXALL LN
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-5359
Mailing Address - Country:US
Mailing Address - Phone:270-963-6086
Mailing Address - Fax:
Practice Address - Street 1:47 MARGO AVE
Practice Address - Street 2:
Practice Address - City:BARDWELL
Practice Address - State:KY
Practice Address - Zip Code:42023-9005
Practice Address - Country:US
Practice Address - Phone:270-628-9802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA5190314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility