Leigh Ann Bailey, LAT, ATC
Individual provider Active NPI Athletic Trainer · Carmel, IN
NPI 1790904514 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790904514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36000563A (IN)
- Practice address
- 755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877 - Phone
- (317) 876-7503
- Fax
- (317) 575-1190
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|
| 36000563A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36000563A | IN | Yes |
Addresses
Primary practice location
755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877
Mailing address
6718 Sundown Dr S
Indianapolis, IN 46254-3600
Phone (317) 298-3108
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.