MEDICARE: KRISTI LYN NATALINO PT

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	030452	NY
2	225100000X	Physical Therapist	1282253	TX
3	225100000X	Physical Therapist	13089	NC
4	225100000X	Physical Therapist	PT5312	NM

General Provider Information

NPI Number	:	1609032879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI LYN NATALINO PT

Provider Business Mailing Address
First Line	:	385 DERBY DR
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-1755
Country	:	US
Telephone Number	:	318-332-5253
Fax Number	:	830-483-2221

Provider Business Practice Location Address
First Line	:	385 DERBY DR
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-1755
Country	:	US
Telephone Number	:	318-332-5253
Fax Number	:	830-483-2221

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

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	01/14/2026

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