Provider Demographics
NPI:1417641036
Name:BAILEY, REGGEALIKA (DC)
Entity Type:Individual
Prefix:DR
First Name:REGGEALIKA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 WINDTON OAK DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-5330
Mailing Address - Country:US
Mailing Address - Phone:912-850-6632
Mailing Address - Fax:
Practice Address - Street 1:7494 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-4104
Practice Address - Country:US
Practice Address - Phone:863-271-4600
Practice Address - Fax:863-271-4605
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor