Provider Demographics
NPI:1962447722
Name:YEARSLEY, NATALIE (ATC, LRPT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:YEARSLEY
Suffix:
Gender:F
Credentials:ATC, LRPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 W 800 N
Mailing Address - Street 2:UNIT 30
Mailing Address - City:CLINTON
Mailing Address - State:UT
Mailing Address - Zip Code:84015-9441
Mailing Address - Country:US
Mailing Address - Phone:801-721-8376
Mailing Address - Fax:801-990-6290
Practice Address - Street 1:452 S MEDICAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010
Practice Address - Country:US
Practice Address - Phone:801-990-6286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer