Provider Demographics
NPI:1770841983
Name:WADLEY, NATALIE BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:BROOKE
Last Name:WADLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 BEAGLE RUN
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4032
Mailing Address - Country:US
Mailing Address - Phone:615-400-6825
Mailing Address - Fax:
Practice Address - Street 1:133 BEAGLE RUN
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-4032
Practice Address - Country:US
Practice Address - Phone:615-400-6825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor