Individual
JAILVA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
406 HIGH AVE, MOUNTAIN HOME, AR 72653-5340
(870) 425-2478
Mailing address
244 WALLICK DR, COTTER, AR 72626-9782
(870) 421-0689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4835
AR
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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