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NPI Code Detail

MEDICARE: KERMIT E BATESON PT

MEDICARE: KERMIT E BATESON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT013229LPA

General Provider Information

NPI Number : 1992749550
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERMIT E BATESON PT
Provider Business Mailing Address
First Line : 32 SADDLEBROOK DR
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-9788
Country : US
Telephone Number : 412-266-5438
Fax Number :
Provider Business Practice Location Address
First Line : 36 OLD HICKORY RIDGE RD
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-8613
Country : US
Telephone Number : 724-228-1249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 11/19/2009

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Directions to “ KERMIT E BATESON PT” Practice Location

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