Bailey Shumate Cheek

Individual provider Active NPI Physical Therapy Assistant · Sparta, NC

NPI 1144730748 · NPPES record last updated Oct 9, 2017

Key facts

NPI
1144730748
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A6088 (NC)
Practice address
179 Combs St
Sparta, NC 28675-8429
Phone
(336) 372-2441
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A6088NCMDPhysical Therapy Assistant
2306604515VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A6088 NC Yes
Physical Therapy Assistant 225200000X 2306604515 VA

Addresses

Primary practice location

179 Combs St
Sparta, NC 28675-8429

Mailing address

127 Avian Crest LN
Galax, VA 24333-3448
Phone (276) 235-1426

Other providers in Sparta, NC

All providers in Sparta, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.