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NPI Code Detail

MEDICARE: MR. NICHOLAS A BATSON PT, DPT

MEDICARE:  MR. NICHOLAS A BATSON  PT, DPT
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 Therapist9814-24WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558376970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NICHOLAS A BATSON PT, DPT
Provider Business Mailing Address
First Line : 5809 ROCKY BRANCH RD
Second Line :
City : SIGNAL MOUNTAIN
State : TN
Zip : 37377-1338
Country : US
Telephone Number : 847-254-1708
Fax Number : 423-269-8746
Provider Business Practice Location Address
First Line : 313 FREEMAN STREET
Second Line :
City : GENOA CITY
State : WI
Zip : 53128
Country : US
Telephone Number : 262-279-8000
Fax Number : 423-269-8764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/04/2020

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Directions to “ MR. NICHOLAS A BATSON PT, DPT” Practice Location

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