Provider Demographics
NPI:1013722305
Name:SKJEFTE, BAYLEE MARIE (COTA/L)
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:MARIE
Last Name:SKJEFTE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 GOLDEN DEWDROP LN
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0522
Mailing Address - Country:US
Mailing Address - Phone:239-272-3255
Mailing Address - Fax:
Practice Address - Street 1:1452 BLOOMINGDALE AVE
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6110
Practice Address - Country:US
Practice Address - Phone:239-272-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA15674225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist