Provider Demographics
NPI:1851794739
Name:BATTILOCHI, JESSICA (MS,AT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:BATTILOCHI
Suffix:
Gender:F
Credentials:MS,AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:DILLONVALE
Mailing Address - State:OH
Mailing Address - Zip Code:43917-0092
Mailing Address - Country:US
Mailing Address - Phone:740-769-7915
Mailing Address - Fax:
Practice Address - Street 1:102 WOODROW AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1567
Practice Address - Country:US
Practice Address - Phone:740-695-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT.0041532255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer