Doctor Name: | NATASHA CANNON |
NPI Number: | 1417387846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2817 Del Rio Pl Louisville, KY - 402202340 |
Business Phone Number: | 2705010797 |
Business Fax Number: | |
Mailing Address: | 825 Parkway Dr, LOUISVILLE |
State: | KY |
Postal Code: | 402172429 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/21/2013 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |