Provider Demographics
NPI:1790744605
Name:BATZ, ELAINE E (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:E
Last Name:BATZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 W AGUA FRIA FWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-7201
Mailing Address - Country:US
Mailing Address - Phone:623-434-0778
Mailing Address - Fax:623-434-0779
Practice Address - Street 1:2730 W AGUA FRIA FWY
Practice Address - Street 2:SUITE 202
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-7201
Practice Address - Country:US
Practice Address - Phone:623-434-0778
Practice Address - Fax:623-434-0779
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist