Individual
MICHAEL P BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CCM
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001179
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710560
BCBS
WV
05
—
0157003000
—
WV
01
—
1516805
UMWA
WV
01
—
55074417400
WORKERS COMP
WV
01
—
7041257
AETNA
WV
01
—
P00103347
RAIL ROAD MEDICARE
WV
Enumeration date
09/06/2005
Last updated
05/27/2020
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