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NPI Code Detail

MEDICARE: CATHERINE ALBERTA BACHTELL PTA

MEDICARE: CATHERINE ALBERTA BACHTELL PTA
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
1225200000XPhysical Therapy AssistantPTA 001720WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PTA001720OTHERWVWV BOARD OF PHYSICAL THERAPY

General Provider Information

NPI Number : 1972862035
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ALBERTA BACHTELL PTA
Provider Business Mailing Address
First Line : 38 BEAVER TRL
Second Line :
City : GERRARDSTOWN
State : WV
Zip : 25420-3064
Country : US
Telephone Number : 304-596-0056
Fax Number :
Provider Business Practice Location Address
First Line : 50 MULBERRY TREE ST
Second Line :
City : CHARLES TOWN
State : WV
Zip : 25414-1274
Country : US
Telephone Number : 304-724-1101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2012
Last Update Date : 06/21/2012

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Directions to “ CATHERINE ALBERTA BACHTELL PTA” Practice Location

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