Provider Demographics
NPI:1831362334
Name:BATWIN, BETSY R (LMT)
Entity type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:R
Last Name:BATWIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 WEKIVA COVE RD
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5665
Mailing Address - Country:US
Mailing Address - Phone:321-946-6297
Mailing Address - Fax:407-682-1812
Practice Address - Street 1:478 WEKIVA COVE RD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-5665
Practice Address - Country:US
Practice Address - Phone:321-946-6297
Practice Address - Fax:407-682-1812
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL51661225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51661OtherMASSAGE LIC #