Provider Demographics
NPI:1225701568
Name:DAILEY, CAYLIE (LAT)
Entity Type:Individual
Prefix:
First Name:CAYLIE
Middle Name:
Last Name:DAILEY
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:CAYLIE
Other - Middle Name:
Other - Last Name:GINTHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAT
Mailing Address - Street 1:804 BEAUTYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4673
Mailing Address - Country:US
Mailing Address - Phone:940-284-3157
Mailing Address - Fax:
Practice Address - Street 1:804 BEAUTYBERRY LN
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-4673
Practice Address - Country:US
Practice Address - Phone:940-284-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLAT55442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer