Provider Demographics
NPI:1144461583
Name:SPECHT-BARTMAN, NATALIE M (MSPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:SPECHT-BARTMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:M
Other - Last Name:SPECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:2403 S 133RD PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5905
Mailing Address - Country:US
Mailing Address - Phone:402-330-8433
Mailing Address - Fax:402-330-8616
Practice Address - Street 1:4620 S 50TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1373
Practice Address - Country:US
Practice Address - Phone:402-731-1944
Practice Address - Fax:402-731-5503
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-016976225100000X
NE3190225100000X
IA5140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist