Nathan Louis Slade

Physical Therapy Assistant · Fairfax, VA

Individual Active NPI

NPI number 1356952865

Practice location

10701 Main St
Fairfax, VA 22030-6904
Phone
(703) 273-7705

Open in Google Maps

NPI record

NPI
1356952865
Entity type
Individual (Type 1)
Enumeration date
August 10, 2020
Last updated
August 12, 2020
Certified
August 12, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2306605670 VA

Mailing address

2911 Deer Hollow Way Unit 418
Fairfax, VA 22031-6048
Phone
(757) 903-1411

About Nathan Slade

Nathan Louis Slade is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 10701 Main St, Fairfax, VA 22030-6904. The NPI number 1356952865 was assigned on August 10, 2020 and the record was last updated on August 12, 2020.

Nathan Slade lists a license in the registry: #2306605670 (VA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan Louis Slade?

The NPI number is 1356952865.

What is the phone number of Nathan Slade?

The phone number listed for the practice location is (703) 273-7705.

Where is Nathan Slade located?

10701 Main St, Fairfax, VA 22030-6904.

What is the taxonomy code for Nathan Slade?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Fairfax

All Physical Therapy Assistant providers in Fairfax, VA →