Healthcare Provider Details

I. General information

NPI: 1013689223
Provider Name (Legal Business Name): NATALIE ELLEDGE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 S FEDERAL HWY STE 280
DELRAY BEACH FL
33483-3352
US

IV. Provider business mailing address

2275 S FEDERAL HWY STE 280
DELRAY BEACH FL
33483-3352
US

V. Phone/Fax

Practice location:
  • Phone: 561-418-9325
  • Fax:
Mailing address:
  • Phone: 561-418-9325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA97907
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: