Healthcare Provider Details

I. General information

NPI: 1336505437
Provider Name (Legal Business Name): LINDA CAROL BATT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 M ST
GERING NE
69341-3124
US

IV. Provider business mailing address

455 M ST
GERING NE
69341-3124
US

V. Phone/Fax

Practice location:
  • Phone: 308-631-7418
  • Fax:
Mailing address:
  • Phone: 308-631-7418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2252
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: