Provider Demographics
NPI:1609902162
Name:MANESS, NATALIE STRICKLAND (DPT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:STRICKLAND
Last Name:MANESS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HUNTERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27313-9571
Mailing Address - Country:US
Mailing Address - Phone:336-674-9791
Mailing Address - Fax:
Practice Address - Street 1:2712 KIVETT DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-9744
Practice Address - Country:US
Practice Address - Phone:336-852-4865
Practice Address - Fax:336-852-5413
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8849652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist