Provider Demographics
NPI:1255122297
Name:BATISTA, KRISTEN MORRILL (LMBT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MORRILL
Last Name:BATISTA
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 HENNING DR STE D
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4578
Mailing Address - Country:US
Mailing Address - Phone:336-414-8577
Mailing Address - Fax:
Practice Address - Street 1:2735 HENNING DR STE D
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4578
Practice Address - Country:US
Practice Address - Phone:336-414-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9276172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist