Provider Demographics
NPI:1407380314
Name:DAY, NATALIE (PT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:D
Other - Last Name:SANDOVAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2300 A MANCHESTER EXPRESSWAY,
Mailing Address - Street 2:101B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-6802
Mailing Address - Country:US
Mailing Address - Phone:706-992-7456
Mailing Address - Fax:
Practice Address - Street 1:2300 A MANCHESTER EXPRESSWAY,
Practice Address - Street 2:101B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31908-6802
Practice Address - Country:US
Practice Address - Phone:706-992-7456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009738225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist