Provider Demographics
NPI:1467716795
Name:YAP, NATOSHIA MARIE (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:NATOSHIA
Middle Name:MARIE
Last Name:YAP
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E REELFOOT AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-6047
Mailing Address - Country:US
Mailing Address - Phone:731-885-8484
Mailing Address - Fax:731-885-8481
Practice Address - Street 1:1720 E REELFOOT AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-6047
Practice Address - Country:US
Practice Address - Phone:731-885-8484
Practice Address - Fax:731-885-8481
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20000085082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer