Provider Demographics
NPI:1922682541
Name:NATALINO PHYSICAL THERAPY
Entity Type:Organization
Organization Name:NATALINO PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NATALINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:318-332-5253
Mailing Address - Street 1:330 VALLE DEL SOL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE ROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87547-3546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 VALLE DEL SOL RD
Practice Address - Street 2:
Practice Address - City:WHITE ROCK
Practice Address - State:NM
Practice Address - Zip Code:87547-3546
Practice Address - Country:US
Practice Address - Phone:318-332-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty