Rachel Batemon

Individual provider Active NPI Speech-Language Pathologist · Rexburg, ID

NPI 1063948610 · NPPES record last updated May 2, 2017

Key facts

NPI
1063948610
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
859 S Yellowstone Hwy
Suite 1701
Rexburg, ID 83440-5293
Phone
(208) 356-7643
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

859 S Yellowstone Hwy
Suite 1701
Rexburg, ID 83440-5293

Mailing address

859 S Yellowstone Hwy
Suite 1701
Rexburg, ID 83440-5293
Phone (208) 356-7643

Other providers in Rexburg, ID

All providers in Rexburg, ID · Speech-Language Pathologist in Idaho

Sources for this page

Verify at the official NPI Registry.