Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 7495 | SC |
Y | 225100000X | Physical Therapist | P15118 | NC |
NPI | 1003215120 |
---|---|
Provider Name | Nathan D Watts |
First Address | Hickory, NC 28602-8809 |
Second Address | Hickory, NC 28602-8809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 02/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P01386371 | RAILROAD MEDICARE PROFESSIONAL REHABILITATION SERVICES (01) | SC |
P01386413 | MEDICARE RAILROAD PRS 4 LLC (01) | SC |
P01386568 | RAILROAD MEDICARE PRS II LLC (01) | SC |