Provider Demographics
NPI:1225586787
Name:HORTON, NATALIE (DC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8323 W 108TH ST
Mailing Address - Street 2:APT D
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1543
Mailing Address - Country:US
Mailing Address - Phone:636-734-2503
Mailing Address - Fax:
Practice Address - Street 1:20160 W 153RD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-9131
Practice Address - Country:US
Practice Address - Phone:913-764-2217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor