Provider Demographics
NPI:1528362092
Name:BAYS, SHIKINA MICHELLE (MOT, OT)
Entity Type:Individual
Prefix:MS
First Name:SHIKINA
Middle Name:MICHELLE
Last Name:BAYS
Suffix:
Gender:F
Credentials:MOT, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 HOLLOW RUN CIR
Mailing Address - Street 2:#427
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-4098
Mailing Address - Country:US
Mailing Address - Phone:317-362-9984
Mailing Address - Fax:
Practice Address - Street 1:3520 HOLLOW RUN CIR
Practice Address - Street 2:#427
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-4098
Practice Address - Country:US
Practice Address - Phone:317-362-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99044709A225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology