Individual
LISA M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5335 E FRONTAGE RD NW, ROCHESTER, MN 55901-5931
(507) 259-7570
Mailing address
PO BOX 7465, ROCHESTER, MN 55903-7465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7141
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699168800
—
MN
Enumeration date
02/16/2006
Last updated
06/14/2013
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