Healthcare Provider Details

I. General information

NPI: 1891650123
Provider Name (Legal Business Name): NATALIE WRIGHT LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S CLEARVIEW PKWY
JEFFERSON LA
70121-1011
US

IV. Provider business mailing address

3340 N ARNOULT RD APT 52
METAIRIE LA
70002-3360
US

V. Phone/Fax

Practice location:
  • Phone: 504-736-4800
  • Fax:
Mailing address:
  • Phone: 316-243-6572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number335262
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: