Individual
MICHAEL P BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CCM
Contact information
Practice address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
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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