Provider Demographics
NPI:1407270069
Name:BATE, ADRIANNE (PT, LMT)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:BATE
Suffix:
Gender:F
Credentials:PT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 MIDYETTE RD
Mailing Address - Street 2:103
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-6206
Mailing Address - Country:US
Mailing Address - Phone:850-728-7947
Mailing Address - Fax:
Practice Address - Street 1:2014 MIDYETTE RD
Practice Address - Street 2:103
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6206
Practice Address - Country:US
Practice Address - Phone:850-728-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23322225100000X
FLMA57464225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist