Natalie Caudio, ATC, LAT

Individual provider Active NPI Athletic Trainer · Lake Wales, FL

NPI 1689094096 · NPPES record last updated Apr 24, 2014

Key facts

NPI
1689094096
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AL 3768 (FL)
Practice address
13895 Hwy 27
Lake Wales, FL 33859-2549
Phone
(863) 638-7257
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AL 3768FLMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 3768 FL Yes

Addresses

Primary practice location

13895 Hwy 27
Lake Wales, FL 33859-2549

Mailing address

13895 Hwy 27
Lake Wales, FL 33859-2549
Phone (863) 638-7257

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Athletic Trainer in Florida

Sources for this page

Verify at the official NPI Registry.