Individual
TIMOTHY BAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N PINE ST, GARNETT, KS 66032-1134
(785) 448-2434
Mailing address
8739 W 1525 RD, CENTERVILLE, KS 66014-9177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400193
KS
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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