Provider Demographics
NPI:1154963734
Name:LEWIS, NATALEE ROSE (DPT)
Entity type:Individual
Prefix:MRS
First Name:NATALEE
Middle Name:ROSE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:NATALEE
Other - Middle Name:ROSE
Other - Last Name:ROKAYAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7568
Mailing Address - Fax:504-309-6585
Practice Address - Street 1:421 N CARROLLTON AVE STE 4
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4746
Practice Address - Country:US
Practice Address - Phone:504-702-6688
Practice Address - Fax:504-702-6679
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist