Healthcare Provider Details

I. General information

NPI: 1710586862
Provider Name (Legal Business Name): NATALIE LOUISE HOLLAND DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE BEALE DPT

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 08/29/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7420 REMCON CIR
EL PASO TX
79912-3529
US

IV. Provider business mailing address

6237 CADIZ ST
EL PASO TX
79912-5001
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-7465
  • Fax:
Mailing address:
  • Phone: 717-430-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1339336
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: