Individual
BAILEY MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10000 W 75TH ST, MERRIAM, KS 66204-2209
(888) 913-1910
Mailing address
9401 CARTER DR, OVERLAND PARK, KS 66212-4824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05746
KS
225100000X
Physical Therapist
PENDING
MO
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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