Provider Demographics
NPI:1376158881
Name:GARRETT, NATALIE KATHERINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:KATHERINE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 WONDER WORLD DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7694
Mailing Address - Country:US
Mailing Address - Phone:512-753-3539
Mailing Address - Fax:
Practice Address - Street 1:92 MDG/SGXH
Practice Address - Street 2:701 HOSPITAL LOOP
Practice Address - City:FAIRCHILD AFB
Practice Address - State:WA
Practice Address - Zip Code:99011
Practice Address - Country:US
Practice Address - Phone:509-247-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1320100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist