Michaela Battle, PTA

Individual provider Active NPI Physical Therapy Assistant · Clarksville, MD

NPI 1508559733 · NPPES record last updated Jun 1, 2023

Key facts

NPI
1508559733
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A5694 (MD)
Practice address
5525 Adams Ridge Rd
Clarksville, MD 21029-1171
Phone
(443) 622-9994
NPI assigned
Jun 1, 2023
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

State licenses

LicenseStateTypeSpecialty
A5694MDMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5694 MD Yes

Addresses

Primary practice location

5525 Adams Ridge Rd
Clarksville, MD 21029-1171

Mailing address

5525 Adams Ridge Rd
Clarksville, MD 21029-1171
Phone (443) 622-9994

Other providers in Clarksville, MD

All providers in Clarksville, MD · Physical Therapy Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.