Provider Demographics
NPI:1780744078
Name:DOWTY, NATALIE (PT, MPT, EDD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:DOWTY
Suffix:
Gender:F
Credentials:PT, MPT, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 S 107TH AVE
Mailing Address - Street 2:220
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:920 S 107TH AVE
Practice Address - Street 2:220
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4719
Practice Address - Country:US
Practice Address - Phone:402-212-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist