Provider Demographics
NPI:1760831085
Name:BAILEY, KAITLYN ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:ELIZABETH
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 UNION BLVD
Mailing Address - Street 2:STE 350
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1877
Mailing Address - Country:US
Mailing Address - Phone:720-274-0341
Mailing Address - Fax:720-274-0367
Practice Address - Street 1:255 UNION BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1877
Practice Address - Country:US
Practice Address - Phone:720-274-0341
Practice Address - Fax:720-274-0367
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist