NPI | 1992444806 |
---|---|
Professional Name | KIMBERLY BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 700) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AL 700) |
225200000X Physical Therapy Assistant (Licence: AL PTA9407) | |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-05-31 |