Provider Demographics
NPI:1669822482
Name:BRAUCHLE, NATALIE M (DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:BRAUCHLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11751 ROCK LANDING DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4233
Mailing Address - Country:US
Mailing Address - Phone:757-223-9403
Mailing Address - Fax:757-223-5546
Practice Address - Street 1:11751 ROCK LANDING DR STE 3
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4233
Practice Address - Country:US
Practice Address - Phone:757-223-9403
Practice Address - Fax:757-223-5546
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist