Mary Bachmann, PTA
Individual provider Active NPI Physical Therapy Assistant · Perryville, MO
NPI 1700216009 · NPPES record last updated Nov 22, 2013
Key facts
- NPI
- 1700216009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2013038744 (MO)
- Practice address
- 136 Tar C Emba LN
Perryville, MO 63775-6187 - Phone
- (573) 547-4405
- NPI assigned
- Nov 22, 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 |
|---|---|---|---|
| 2013038744 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2013038744 | MO | Yes |
Addresses
Primary practice location
136 Tar C Emba LN
Perryville, MO 63775-6187
Mailing address
136 Tar C Emba LN
Perryville, MO 63775-6187
Other providers in Perryville, MO
- Kristin Armbruster
- Kathleen M. Arnzen
- Karen Aromando-Williams
- Craig Jay Asselmeier
- B & S United Agency D/B/a Miracle Ear
- Emma Bartley
- Madison Paige Berkbigler
- Valerie Ann Besand
- Better Hearing Solutions, LLC
- Beyond Valor Counseling and Consulting, LLC
All providers in Perryville, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 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.