Provider Demographics
NPI:1811167778
Name:ROMERO-NEWCOMER, NATALIE L (LMP, MMP, CNMT, GTS)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:L
Last Name:ROMERO-NEWCOMER
Suffix:
Gender:F
Credentials:LMP, MMP, CNMT, GTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 EVERGREEN CT STE C
Mailing Address - Street 2:
Mailing Address - City:INTERLACHEN
Mailing Address - State:FL
Mailing Address - Zip Code:32148-2461
Mailing Address - Country:US
Mailing Address - Phone:360-771-7962
Mailing Address - Fax:360-750-0253
Practice Address - Street 1:106 EVERGREEN CT STE C
Practice Address - Street 2:
Practice Address - City:INTERLACHEN
Practice Address - State:FL
Practice Address - Zip Code:32148-2461
Practice Address - Country:US
Practice Address - Phone:360-771-7962
Practice Address - Fax:360-750-0253
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA101087225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist