Bailey, Candace Michelle

Bailey, Candace Michelle is an individual health care provider with primary practice located at 8253 Hwy 51 N Ste 102, Millington TN 38053. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bailey, Candace Michelle can be contacted via phone (901) 872-6422.

Contact Information

Primary practice address
8253 Hwy 51 N Ste 102 Millington TN 38053
Phone: (901) 872-6422
Fax: (901) 872-6497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3914 Tennessee

Profile Details

NPI number 1871544676
LBN Legal business name Bailey, Candace Michelle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871544676 NPPES
Tennessee MEDICAID 00446628

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