Provider Demographics
NPI:1982588810
Name:BATHICHE, EVIBETH RHONA (LMT/RMP)
Entity type:Individual
Prefix:
First Name:EVIBETH
Middle Name:RHONA
Last Name:BATHICHE
Suffix:
Gender:F
Credentials:LMT/RMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 GOLDEN EAGLE TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3910
Mailing Address - Country:US
Mailing Address - Phone:202-391-2839
Mailing Address - Fax:
Practice Address - Street 1:805 E BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2046
Practice Address - Country:US
Practice Address - Phone:202-391-2839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM99701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist