Individual
BAILEY T BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833
Mailing address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7320
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005097
—
MS
05
—
200024732
—
MS
Enumeration date
06/08/2022
Last updated
12/09/2025
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