Provider Demographics
NPI:1417372939
Name:JOINER, NATOSHA LINDSEY (PTA)
Entity Type:Individual
Prefix:MRS
First Name:NATOSHA
Middle Name:LINDSEY
Last Name:JOINER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:NATOSHA
Other - Middle Name:LINDSEY
Other - Last Name:STAFFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:301 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-4722
Mailing Address - Country:US
Mailing Address - Phone:225-664-1166
Mailing Address - Fax:225-667-2843
Practice Address - Street 1:26635 LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5853
Practice Address - Country:US
Practice Address - Phone:225-664-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAA8070225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant