Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 0131000965 | VA |
N | 225200000X | Physical Therapy Assistant | 2306603207 | VA |
N | 225200000X | Physical Therapy Assistant | PTA-2408 | AR |
Y | 225X00000X | Occupational Therapist | OT-1613 | HI |
NPI | 1013281658 |
---|---|
Provider Name | Miss Kasey Batterton |
First Address | Kahului, HI 96733-4079 |
Second Address | Kahului, HI 96732-2099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2012 |
Last Update Date | 02/02/2019 |