Individual
NATHANIEL R WEBB
Active
Individual
NATHANIEL R WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10969
WI
225100000X
Physical Therapist
Primary
8802
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36160300
—
WI
05
—
493509
—
AZ
01
—
P00602506
RR MEDICARE
WI
Enumeration date
02/20/2008
Last updated
05/19/2022
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