MEDICARE: NATALINO PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922682541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATALINO PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	330 VALLE DEL SOL RD
Second Line	:
City	:	WHITE ROCK
State	:	NM
Zip	:	87547-3546
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 VALLE DEL SOL RD
Second Line	:
City	:	WHITE ROCK
State	:	NM
Zip	:	87547-3546
Country	:	US
Telephone Number	:	318-332-5253
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. KRISTI NATALINO
Credential	:	DPT
Telephone Number	:	318-332-5253

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	05/10/2021

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Directions to “NATALINO PHYSICAL THERAPY ” Practice Location

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