Provider Demographics
NPI:1982800462
Name:BAILEY, AIMEE MILLER (PT)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:MILLER
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:MICHELLE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3854 PICKENS HWY
Mailing Address - Street 2:
Mailing Address - City:ROSMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28772-9829
Mailing Address - Country:US
Mailing Address - Phone:828-877-2725
Mailing Address - Fax:
Practice Address - Street 1:159B KING STREET
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712
Practice Address - Country:US
Practice Address - Phone:828-862-3282
Practice Address - Fax:828-862-3889
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11140225100000X
TNPT0000007104-424834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist