Provider Demographics
NPI:1770182859
Name:GEISLER, NATALIE JO (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JO
Last Name:GEISLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4678 BLAIR SLACK RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8929
Mailing Address - Country:US
Mailing Address - Phone:509-679-5189
Mailing Address - Fax:
Practice Address - Street 1:112 S ELLIOTT AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2500
Practice Address - Country:US
Practice Address - Phone:509-663-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61046777225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist