Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATASHA NICOLE GOURLEY, ATC, LAT, EMT-PM
Active Sole ProprietorNATASHA NICOLE GOURLEY, ATC, LAT, EMT-PM is a Athletic Trainer healthcare provider located in MOUNT AYR, Iowa. NPI 1699403832 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOUNT AYR, IA
Registration Details
- NPI Number
- 1699403832
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2022 (4.0326711070282 yrs)
- Last Updated
- Aug 14, 2022
- License
-
000693 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 N CLEVELAND STMOUNT AYR, IA, 508542201Browse IA providers · Browse ZIP 50854
- Phone
- 6413442707
- Fax
- 6414644474
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.