Provider Demographics
NPI:1598098212
Name:BAILEY, SARAH R (PTA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WINDING WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-7820
Mailing Address - Country:US
Mailing Address - Phone:269-420-4028
Mailing Address - Fax:
Practice Address - Street 1:1579 CAPITAL AVE NE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-5381
Practice Address - Country:US
Practice Address - Phone:269-288-8410
Practice Address - Fax:269-288-8414
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant