Jennifer Bailey, LMT
Individual provider Active NPI Massage Therapist · Sidney, NY
NPI 1174809255 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1174809255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 025388-1 (NY)
- Practice address
- 11 Orchard St
Sidney, NY 13838-1231 - Phone
- (607) 240-8006
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 025388-1 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 025388-1 | NY | Yes |
Addresses
Primary practice location
11 Orchard St
Sidney, NY 13838-1231
Mailing address
11 Orchard St
Sidney, NY 13838-1231
Phone (607) 240-8006
Other providers in Sidney, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. 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.