Bailee Ryanne Church, OTR/L
Individual provider Active NPI Occupational Therapist · Roan Mountain, TN
NPI 1174209688 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1174209688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 7608 (TN)
- Practice address
- 146 Buck Creek Rd
Roan Mountain, TN 37687-3497 - Phone
- (423) 772-0161
- NPI assigned
- Jun 27, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7608 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7608 | TN | Yes |
Addresses
Primary practice location
146 Buck Creek Rd
Roan Mountain, TN 37687-3497
Mailing address
461 Cloudland Dr
Roan Mountain, TN 37687-3205
Phone (423) 895-9674
Other providers in Roan Mountain, TN
- Jordon Thomas Baker
- Emily Faye Benfield
- Pamela W Chaney
- Fairhaven Counseling
- Martha Adkins Felty
- Charlotte Elin Fisher
- Wesley Robert Hanson
- Jamesia Hicks Harris
All providers in Roan Mountain, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.