Individual
BAYLEE BRYANT CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 W UNIVERSITY PKWY STE E, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Mailing address
117 GARDEN GATE DRIVE, HUMBOLDT, TN 38343
(601) 551-9249
(731) 300-4951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7647
DEPARTMENT OF HEALTH
TN
Enumeration date
08/10/2023
Last updated
08/10/2023
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