Provider Demographics
NPI:1184152092
Name:BATSCHE, JEFFREY B (PTA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:B
Last Name:BATSCHE
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 N PARKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3216
Mailing Address - Country:US
Mailing Address - Phone:817-422-1407
Mailing Address - Fax:
Practice Address - Street 1:1600 TEXAS ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3400
Practice Address - Country:US
Practice Address - Phone:817-338-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant