Provider Demographics
NPI:1003931569
Name:BAILEY, SALLY D (RDT)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:D
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RDT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1626 LEAVENWORTH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4157
Mailing Address - Country:US
Mailing Address - Phone:785-537-2473
Mailing Address - Fax:785-732-3714
Practice Address - Street 1:129 NICHOLS HALL
Practice Address - Street 2:KANSAS STATE UNIVERSITY
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-2300
Practice Address - Country:US
Practice Address - Phone:785-532-6780
Practice Address - Fax:785-532-3714
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist