Provider Demographics
NPI:1851106280
Name:FOGLE, NATALIE RISHER (DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:RISHER
Last Name:FOGLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 EAGLETREE LN SW STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7429
Mailing Address - Country:US
Mailing Address - Phone:256-261-3529
Mailing Address - Fax:
Practice Address - Street 1:145 RESEARCH BLVD STE 300
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2176
Practice Address - Country:US
Practice Address - Phone:256-281-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH12196208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation