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NPI Code Detail

MEDICARE: DR. NATHAN ANDREW HATTON DPT

MEDICARE: DR. NATHAN ANDREW HATTON 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 TherapistPT292753CA

General Provider Information

NPI Number : 1477086312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN ANDREW HATTON DPT
Provider Business Mailing Address
First Line : 2848 CLOVER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-3414
Country : US
Telephone Number : 916-214-6795
Fax Number :
Provider Business Practice Location Address
First Line : 3400 ELVAS AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-1913
Country : US
Telephone Number : 916-457-8802
Fax Number : 916-457-7609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 04/07/2017

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