Provider Demographics
NPI:1184339277
Name:ISAAC, BAILIE PAIGE (OTR/L)
Entity type:Individual
Prefix:
First Name:BAILIE
Middle Name:PAIGE
Last Name:ISAAC
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BAILIE
Other - Middle Name:PAIGE
Other - Last Name:BROWNSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5800 RIVER RD APT 307
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 ELIZABETH ST - CHEATHAM COUNTY SCHOOLS
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015
Practice Address - Country:US
Practice Address - Phone:615-792-5664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist