Individual
TARA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
521 LANCASTER AVE, 203 MOBERLY BUILDING, RICHMOND, KY 40475-3100
(859) 248-5265
(859) 622-8857
Mailing address
521 LANCASTER AVE, 203 MOBERLY BUILDING, RICHMOND, KY 40475-3100
(859) 248-5265
(859) 622-8857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003553
OH
2255A2300X
Athletic Trainer
Primary
1005
KY
2255A2300X
Athletic Trainer
2601000109
MI
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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