Provider Demographics
NPI:1669662342
Name:SCHILATY, NATHAN
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:
Last Name:SCHILATY
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:NATHAN
Other - Middle Name:
Other - Last Name:SCHILATY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1762 HOFFMAN DR
Mailing Address - Street 2:STE. H
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4292
Mailing Address - Country:US
Mailing Address - Phone:970-663-6677
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-4292
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor