Individual
NATHANIEL R WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
765 N 114TH AVE STE 101, AVONDALE, AZ 85323-5003
(602) 933-7778
(602) 933-4296
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
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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