Individual
MRS. EMILY GRACE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9509 AUTUMN TRAIL CV, LAKELAND, TN 38002-8298
(901) 569-4940
Mailing address
9509 AUTUMN TRAIL CV, LAKELAND, TN 38002-8298
(901) 569-4940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5974
TN
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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