Healthcare Provider Details

I. General information

NPI: 1962568071
Provider Name (Legal Business Name): ASHLEY ELIZABETH BATCHELDER MS, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ELIZABETH JONES MS, LAT

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 WHITE PLAINS RD SUITE 105
TRUMBULL CT
06611-4552
US

IV. Provider business mailing address

106 GLENFIELD AVE
STRATFORD CT
06614-4032
US

V. Phone/Fax

Practice location:
  • Phone: 203-268-2882
  • Fax:
Mailing address:
  • Phone: 209-313-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number000468
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: