Rachell Bateman
Individual provider Active NPI Physical Therapy Assistant · Brandon, MS
NPI 1699196352 · NPPES record last updated Dec 26, 2013
Key facts
- NPI
- 1699196352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 3658 (MS)
- Practice address
- 140 Eagle Dr
Brandon, MS 39047-7775 - Phone
- (601) 480-4848
- NPI assigned
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 3658 | MS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 3658 | MS | Yes |
Addresses
Primary practice location
140 Eagle Dr
Brandon, MS 39047-7775
Mailing address
140 Eagle Dr
Brandon, MS 39047
Other providers in Brandon, MS
- Barnes Chiropractic Incorporated
- Debra Beverley Barnes
- Laurie A Barnes
- Samantha Hope Barnette
- Erin Hamilton Bass
- Shyeka Lavonne Battle
- Amy Baucum
- Leah A Bayliss
- Hannah N Beamon
- Sydney Marie Bearden
All providers in Brandon, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.