Provider Demographics
NPI:1104382498
Name:RELFORD, BAILEY RAINEY
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:RAINEY
Last Name:RELFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 RIVER PLACE DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1011
Mailing Address - Country:US
Mailing Address - Phone:254-833-0883
Mailing Address - Fax:
Practice Address - Street 1:3005 RIVER PLACE DR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1011
Practice Address - Country:US
Practice Address - Phone:254-833-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4947225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics