Bailey Allen, LMT

Individual provider Active NPI Massage Therapist · Frisco, TX

NPI 1760142962 · NPPES record last updated Dec 29, 2021

Key facts

NPI
1760142962
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
124122 (TX)
Practice address
9440 Stratton Dr Apt 16307
Frisco, TX 75035-5365
Phone
(601) 504-8121
NPI assigned
Dec 29, 2021
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)
Yes

State licenses

LicenseStateTypeSpecialty
124122TXMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 124122 TX Yes

Addresses

Primary practice location

9440 Stratton Dr Apt 16307
Frisco, TX 75035-5365

Mailing address

9440 Stratton Dr Apt 16307
Frisco, TX 75035-5365
Phone (601) 504-8121

Other identifiers

IdentifierTypeStateIssuer
124122OtherTXLMT - LICENSED MASSAGE THERAPIST

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL allenbailey89@gmail.com

Other providers in Frisco, TX

All providers in Frisco, TX · Massage Therapist in Texas

Sources for this page

Verify at the official NPI Registry.