Healthcare Provider Details

I. General information

NPI: 1427888577
Provider Name (Legal Business Name): NATASHA GIULIETTI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 OAKWAY CTR
EUGENE OR
97401-5645
US

IV. Provider business mailing address

2131 BIRCHWOOD AVE
EUGENE OR
97401-7410
US

V. Phone/Fax

Practice location:
  • Phone: 541-687-7005
  • Fax:
Mailing address:
  • Phone: 541-285-4218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number65375
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number65375
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number65375
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number65375
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number65375
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: