Doctor Name: | MR. JEFFREY R BATTISTE |
NPI Number: | 1669484200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 11-04742 |
Business Practice Address: | 1410 N Woodlawn Blvd Suite E Derby, KS - 670372953 |
Business Phone Number: | 3164627420 |
Business Fax Number: | 3167881754 |
Mailing Address: | 1410 N Woodlawn Blvd Ste E, DERBY |
State: | KS |
Postal Code: | 670372954 |
Phone Number: | 3164627420 |
Fax Number: | 3167881754 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-04742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |