Individual
MRS. NATASHA LEE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
900 WEST KINGSHIGHWAY, PARAGOULD, AR 72450
(870) 239-7188
(870) 239-7288
Mailing address
900 WEST KINGSHIGHWAY, PARAGOULD, AR 72450
(870) 239-7188
(870) 239-7288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2299
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137061721
—
AR
01
—
5Y742
BLUECROSS BLUESHIELD #
AR
01
—
743157354
TAX ID#
AR
Enumeration date
04/19/2006
Last updated
07/06/2020
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