Provider Demographics
NPI:1861960395
Name:WRATHER, NATALIE ALYSS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ALYSS
Last Name:WRATHER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:ALYSS
Other - Last Name:SWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:20 AMBERWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9765
Mailing Address - Country:US
Mailing Address - Phone:419-871-9032
Mailing Address - Fax:
Practice Address - Street 1:20 AMBERWOOD PKWY
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9765
Practice Address - Country:US
Practice Address - Phone:419-871-9032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist