Provider Demographics
NPI:1558907410
Name:HILL, BAILEY (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 BLUEBONNET BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7827
Mailing Address - Country:US
Mailing Address - Phone:301-922-2020
Mailing Address - Fax:225-578-3924
Practice Address - Street 1:LSU ATHLETICS ATHLETIC ADMINISTRATION BUILDING
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70803-3748
Practice Address - Country:US
Practice Address - Phone:225-578-2050
Practice Address - Fax:225-578-3924
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11732R225100000X
LA3394122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer