Provider Demographics
NPI:1871105890
Name:JACOBSON, NATALIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:ESPINOZA-HENSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:2300 BETHELVIEW RD STE 203
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9475
Practice Address - Country:US
Practice Address - Phone:770-888-1106
Practice Address - Fax:770-888-1653
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT014776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist