Jamie Marie Bayler

Individual provider Active NPI Developmental Therapist · Olney, IL

NPI 1740534692 · NPPES record last updated Oct 30, 2012

Key facts

NPI
1740534692
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
304 Carrie LN
Olney, IL 62450-2301
Phone
(618) 554-7411
NPI assigned
Oct 30, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

304 Carrie LN
Olney, IL 62450-2301

Mailing address

304 Carrie LN
Olney, IL 62450-2301
Phone (618) 554-7411

Other providers in Olney, IL

All providers in Olney, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.