Healthcare Provider Details

I. General information

NPI: 1346157245
Provider Name (Legal Business Name): NATALIE DAGLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 FAIRBANKS RD
OAK RIDGE TN
37830-7000
US

IV. Provider business mailing address

142 FAIRBANKS RD
OAK RIDGE TN
37830-7000
US

V. Phone/Fax

Practice location:
  • Phone: 865-888-5431
  • Fax:
Mailing address:
  • Phone: 865-888-5431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17442
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: