Individual
MICHAEL DAVID BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-948
ID
225100000X
Physical Therapist
Primary
RPT948
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149138
BLUE SHIELD
ID
05
—
807192900
—
ID
01
—
TA864
BLUE CROSS
ID
Enumeration date
11/29/2006
Last updated
05/13/2026
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