Provider Demographics
NPI:1154878155
Name:KIEFER, NATALIE ANN (DPT)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANN
Last Name:KIEFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2170 W IRONWOOD CENTER DR
Mailing Address - Street 2:STE B
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2606
Mailing Address - Country:US
Mailing Address - Phone:208-762-2100
Mailing Address - Fax:208-965-5654
Practice Address - Street 1:2124 WARM SPRINGS ST.
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:OR
Practice Address - Zip Code:97761-9776
Practice Address - Country:US
Practice Address - Phone:541-777-2663
Practice Address - Fax:541-777-2662
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
OR61735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174H00000XOther Service ProvidersHealth Educator