Provider Demographics
NPI:1386473759
Name:MCDANIEL, NATALIE LAURA (DPT, BS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LAURA
Last Name:MCDANIEL
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Gender:F
Credentials:DPT, BS
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 LYNDON FARM CT STE 300
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 W FAIRHAVEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1153
Practice Address - Country:US
Practice Address - Phone:360-755-9111
Practice Address - Fax:360-755-1320
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT61553475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist