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Individual

BAILEY ELISE HEINRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008

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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