Provider Demographics
NPI:1962888693
Name:STARKEY, NATHALIE JASMIN (PT DPT OCS)
Entity type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:JASMIN
Last Name:STARKEY
Suffix:
Gender:F
Credentials:PT DPT OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 W NEW ENGLAND AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4256
Mailing Address - Country:US
Mailing Address - Phone:239-595-4813
Mailing Address - Fax:
Practice Address - Street 1:558 W NEW ENGLAND AVE STE 120
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4256
Practice Address - Country:US
Practice Address - Phone:239-595-4813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist