Mabry Lynne Bailey, PT, DPT
Individual provider Active NPI Physical Therapist · Belzoni, MS
NPI 1679084701 · NPPES record last updated Oct 16, 2017
Key facts
- NPI
- 1679084701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6039 (MS)
- Practice address
- 101 Penn St
Belzoni, MS 39038-3933 - Phone
- (662) 820-1289
- NPI assigned
- Oct 16, 2017
- 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 |
|---|---|---|---|
| PT6039 | MS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6039 | MS | Yes |
Addresses
Primary practice location
101 Penn St
Belzoni, MS 39038-3933
Mailing address
101 Penn St
Belzoni, MS 39038-3933
Phone (662) 820-1289
Other providers in Belzoni, MS
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- Aspirations Adult Day Services LLC
- Emily Roberts Aust
- Heather M Barnes
- Wilfredo Bullock
- Camp Kidz LLC
- Camp Reloaded LLC
- Ollie M Chapman
All providers in Belzoni, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2017. 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.