Provider Demographics
NPI:1205385598
Name:HAWKINS, NATALIE MAE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MAE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:225100000X
Mailing Address - Street 1:16700 N THOMPSON PEAK PKWY #220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-629-4606
Mailing Address - Fax:480-629-8511
Practice Address - Street 1:16700 N THOMPSON PEAK PKWY #220
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-629-4606
Practice Address - Fax:480-629-8511
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291857225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist