Individual
MR. JEFFREY R BATTISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1410 N WOODLAWN BLVD, SUITE E, DERBY, KS 67037-2953
(316) 462-7420
(316) 788-1754
Mailing address
1410 N WOODLAWN BLVD STE E, DERBY, KS 67037-2954
(316) 462-7420
(316) 788-1754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04742
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669484200
MEDICARE NPI
KS
Enumeration date
08/12/2006
Last updated
11/16/2015
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