Vicki Carol Bailey, PTA
Individual provider Active NPI Physical Therapy Assistant · Lindale, TX
NPI 1467922971 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1467922971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2013645 (TX)
- Practice address
- 616 N Main St Ste a
Lindale, TX 75771-6426 - Phone
- (903) 882-6400
- Fax
- (903) 882-6404
- NPI assigned
- Nov 27, 2018
- 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 |
|---|---|---|---|
| 2013645 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2013645 | TX | Yes |
Addresses
Primary practice location
616 N Main St Ste a
Lindale, TX 75771-6426
Mailing address
616 N Main St Ste a
Lindale, TX 75771-6426
Phone (903) 882-6400
Other providers in Lindale, TX
- Asn Speech Pathology
- Karen Austin
- B Clay Keith DDS PA
- Misty Lynn Baggett
- Jan Charree Bailey
- Russell Teal Bailiff
- Chester Whitney Baird
- Carolyn Bancook
- Courtney B Bancook
- Bar Home Medical & Scrubs, LLC
All providers in Lindale, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2018. 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.