Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 8766 | OH |
N | 2251E1200X | Ergonomics | 8766 | OH |
N | 225XE1200X | Ergonomics | 8766 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | 8766 | OH |
NPI | 1265646558 |
---|---|
Provider Name | Mrs. Kristin Kay Bailey |
First Address | Medina, OH 44256-7443 |
Second Address | Medina, OH 44256-7443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |