Individual
AUSTIN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1651 CAREY AVE, 1C, CHEYENNE, WY 82001-4423
(307) 426-4321
(307) 426-4320
Mailing address
1651 CAREY AVE, 1C, CHEYENNE, WY 82001-4423
(307) 426-4321
(307) 426-4320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
QL-17-35110
WY
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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