Natalie Delashaw

Individual provider Active NPI Physical Therapy Assistant · Monahans, TX

NPI 1780922682 · NPPES record last updated Jan 28, 2013

Key facts

NPI
1780922682
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2062340 (TX)
Practice address
1200 W 15TH St
Monahans, TX 79756-8301
Phone
(432) 943-2741
NPI assigned
Jan 28, 2013
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
2062340TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2062340 TX Yes

Addresses

Primary practice location

1200 W 15TH St
Monahans, TX 79756-8301

Mailing address

1635 E 56TH St
Odessa, TX 79762-4436

Other providers in Monahans, TX

All providers in Monahans, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.