Provider Demographics
NPI:1386178051
Name:HIGH, NATALIE ELIZABETH (LAT, ATC)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:HIGH
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 GRIFFIN LN
Mailing Address - Street 2:
Mailing Address - City:MARSHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28103-1461
Mailing Address - Country:US
Mailing Address - Phone:704-989-5002
Mailing Address - Fax:
Practice Address - Street 1:220 N CAMDEN RD
Practice Address - Street 2:BOX 5002
Practice Address - City:WINGATE
Practice Address - State:NC
Practice Address - Zip Code:28174-9644
Practice Address - Country:US
Practice Address - Phone:704-233-8296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-2944405300000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No405300000XOther Service ProvidersPrevention Professional