Basic Information
| Provider Information | |||||||||
| NPI: | 1902550049 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATWOOD | ||||||||
| FirstName: | NATALIE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 426 RIVER RD | ||||||||
| Address2: | |||||||||
| City: | CUSHING | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045633342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2079750541 | ||||||||
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| Practice Location | |||||||||
| Address1: | 105 MECHANIC ST | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 048431811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072364197 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2022 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT6150 | ME | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.