Individual
BAILEY ELISE HEINRICH
Active
Individual
BAILEY ELISE HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1336426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415017901
—
TX
01
—
8NF204
BCBS
TX
01
—
P02544640
MEDICARE RAILROAD
TX
Enumeration date
08/25/2020
Last updated
11/12/2024
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