Provider Demographics
NPI:1396128351
Name:JONES, NATALIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 W CATHY CIR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3533
Mailing Address - Country:US
Mailing Address - Phone:480-702-1634
Mailing Address - Fax:480-680-8385
Practice Address - Street 1:4444 W CATHY CIR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3533
Practice Address - Country:US
Practice Address - Phone:480-702-1634
Practice Address - Fax:480-680-8385
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42405225100000X
AZ31110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ31110OtherARIZONA PHYSICAL THERAPY LICENSE
CA42405OtherCALIFORNIA PHYSICAL THERAPY LICENSE