Provider Demographics
NPI:1093329807
Name:BAILEY, CHLOE LANE (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:LANE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 LESLIE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-1832
Mailing Address - Country:US
Mailing Address - Phone:502-321-9542
Mailing Address - Fax:
Practice Address - Street 1:1055 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8037
Practice Address - Country:US
Practice Address - Phone:502-517-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP2020054225100000X
225100000X
KY008108225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist