Provider Demographics
NPI:1588724298
Name:BATESON, KRISTY LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LYNN
Last Name:BATESON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KRISTY
Other - Middle Name:LYNN
Other - Last Name:HOPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3816 N ELM ST STE E
Mailing Address - Street 2:LING & KERR PEDIATRIC THERAPY
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2776
Mailing Address - Country:US
Mailing Address - Phone:336-370-4070
Mailing Address - Fax:336-370-9008
Practice Address - Street 1:3816 N ELM ST STE E
Practice Address - Street 2:LING & KERR PEDIATRIC THERAPY
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2776
Practice Address - Country:US
Practice Address - Phone:336-370-4070
Practice Address - Fax:336-370-9008
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10730225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
561850178OtherCOMMERCIAL INS
56162OtherCOMMERCIAL INS-MEDCOST
NC561850178OtherCOMMERCIAL INS-HEALTHNET
NC7212242Medicaid
NC068A5OtherBCBS