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NPI Code Detail

MEDICARE: NATALIE RAE HALE DPT

MEDICARE: NATALIE RAE HALE DPT
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
1225100000XPhysical Therapist9816368-2401UT

General Provider Information

NPI Number : 1376993105
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE RAE HALE DPT
Provider Business Mailing Address
First Line : 3727 W 8620 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-5529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5126 W DAYBREAK PKWY
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-5994
Country : US
Telephone Number : 801-213-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 12/10/2021

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