MEDICARE: NATALIE MEYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1366926578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MEYER

Provider Business Mailing Address
First Line	:	6415 MILESTRIP RD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 MILESTRIP RD
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1503
Country	:	US
Telephone Number	:	716-997-7895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2018
Last Update Date	:	09/24/2018

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Directions to “ NATALIE MEYER ” Practice Location

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