Provider Demographics
NPI:1922265073
Name:BATEY, RACHEL BLACKMAN
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BLACKMAN
Last Name:BATEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 ENGLISH HILL DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1433
Mailing Address - Country:US
Mailing Address - Phone:615-631-2902
Mailing Address - Fax:
Practice Address - Street 1:2240 SOUTHPARK DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5507
Practice Address - Country:US
Practice Address - Phone:615-631-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN214136224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant