Provider Demographics
NPI:1508148701
Name:LEVITT, NATASHA (PT)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:LEVITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7633 GALLEON WAY
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8212
Mailing Address - Country:US
Mailing Address - Phone:760-942-1553
Mailing Address - Fax:760-942-1553
Practice Address - Street 1:7633 GALLEON WAY
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8212
Practice Address - Country:US
Practice Address - Phone:760-942-1553
Practice Address - Fax:760-942-1553
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT22170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist