Provider Demographics
NPI:1417239054
Name:TIGHE, NATALIE ANNE (PT)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ANNE
Last Name:TIGHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:MOODY
Other - Last Name:WRAGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:NE
Mailing Address - Zip Code:68779-0813
Mailing Address - Country:US
Mailing Address - Phone:402-649-2065
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTH 18TH STREET
Practice Address - Street 2:THE MEADOWS
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-844-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1723225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist