Provider Demographics
NPI:1013035898
Name:STEADMAN, NATALIE DENISE (ATC, LAT, PT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:DENISE
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:ATC, LAT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4507 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-4712
Mailing Address - Country:US
Mailing Address - Phone:806-791-0316
Mailing Address - Fax:806-743-3518
Practice Address - Street 1:4507 7TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-4712
Practice Address - Country:US
Practice Address - Phone:806-791-0316
Practice Address - Fax:806-743-3518
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1079523225100000X
TXAT11392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer