Provider Demographics
NPI:1679863039
Name:LA POINTE, NATALYA (LMT, CT)
Entity Type:Individual
Prefix:MRS
First Name:NATALYA
Middle Name:
Last Name:LA POINTE
Suffix:
Gender:F
Credentials:LMT, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 BROWN ARROW CIR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-9652
Mailing Address - Country:US
Mailing Address - Phone:863-286-2204
Mailing Address - Fax:864-285-0902
Practice Address - Street 1:207 BROWN ARROW CIR
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-9652
Practice Address - Country:US
Practice Address - Phone:863-286-2204
Practice Address - Fax:864-285-0902
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6439225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist