Provider Demographics
NPI:1063935138
Name:BATCHELOR, BETHANY JO (DPT)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:JO
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:103 COUNTY ROAD 455
Mailing Address - Street 2:
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-2925
Mailing Address - Country:US
Mailing Address - Phone:205-826-9906
Mailing Address - Fax:256-898-0622
Practice Address - Street 1:158 ANA DR STE C
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1766
Practice Address - Country:US
Practice Address - Phone:256-285-9885
Practice Address - Fax:256-898-0622
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist