Provider Demographics
NPI:1811927460
Name:BAILEY, REBECCA (ATC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATC
Mailing Address - Street 1:938 E 970 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-3461
Mailing Address - Country:US
Mailing Address - Phone:801-368-5232
Mailing Address - Fax:801-756-8575
Practice Address - Street 1:510 N 600 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-1959
Practice Address - Country:US
Practice Address - Phone:801-756-8547
Practice Address - Fax:801-756-8575
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer