Tricia Ann Bailey, NCTMB
Individual provider Active NPI Mechanotherapist · Howell, MI
NPI 1306197736 · NPPES record last updated Sep 25, 2012
Key facts
- NPI
- 1306197736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- 429917-00 (MI)
- Practice address
- 4336 E Grand River Ave
Howell, MI 48843-8554 - Phone
- (810) 844-1283
- NPI assigned
- Sep 25, 2012
- 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 |
|---|---|---|---|
| 429917-00 | MI | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 429917-00 | MI | Yes |
Addresses
Primary practice location
4336 E Grand River Ave
Howell, MI 48843-8554
Mailing address
4336 E Grand River Ave
Howell, MI 48843-8554
Phone (810) 844-1283
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2012. 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.