Timothy Park Bailey, ATC
Individual provider Active NPI Athletic Trainer · Simpsonville, SC
NPI 1558745752 · NPPES record last updated Jul 17, 2015
Key facts
- NPI
- 1558745752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 316 Abbey Gardens LN
Simpsonville, SC 29681-6816 - Phone
- (864) 907-5541
- NPI assigned
- Jul 17, 2015
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | SC | Yes |
Addresses
Primary practice location
316 Abbey Gardens LN
Simpsonville, SC 29681-6816
Mailing address
316 Abbey Gardens LN
Simpsonville, SC 29681-6816
Phone (864) 907-5541
Other providers in Simpsonville, SC
- Lauriant Azangue
- Anthony James Baglio
- Scott Bagwell
- Anna W Bailey
- Kelly Bailey
- Xavier Bailey
- Ralph Lee Baisden Jr.
- Baker Therapeutic Services LLC
- Michael David Baker
- Balancing Eden Counseling LLC
All providers in Simpsonville, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2015. 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.