Provider Demographics
NPI:1609032879
Name:NATALINO, KRISTI LYN (PT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYN
Last Name:NATALINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LYN
Other - Last Name:BASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1411 FRONTIER
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5949
Mailing Address - Country:US
Mailing Address - Phone:318-332-5253
Mailing Address - Fax:830-483-2221
Practice Address - Street 1:1411 FRONTIER
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-5949
Practice Address - Country:US
Practice Address - Phone:318-332-5253
Practice Address - Fax:830-483-2221
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030452225100000X
NC13089225100000X
NMPT5312225100000X
TX1282253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist