Provider Demographics
NPI:1629320130
Name:LAY, NATHANIEL WALTER (DPT)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:WALTER
Last Name:LAY
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:132 N BELVEDERE DR
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-5418
Practice Address - Country:US
Practice Address - Phone:615-451-1877
Practice Address - Fax:615-451-1878
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2019-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN89692251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic