Provider Demographics
NPI:1861378895
Name:WILKINSON, NATALIE ANNE (PT, DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANNE
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 GRAYSON DR APT 15105
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7091
Mailing Address - Country:US
Mailing Address - Phone:832-795-3322
Mailing Address - Fax:
Practice Address - Street 1:17516 MATANY RD STE 100
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-8707
Practice Address - Country:US
Practice Address - Phone:940-654-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407085225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist