Individual
MICHAEL ANTHONY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
810 EASTERN ST, KINGMAN, AZ 86401-5487
(817) 797-2058
Mailing address
3396 SUNRIVER RD APT 226, BULLHEAD CITY, AZ 86429-8916
(817) 797-2058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27833
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15735686
CAQH
—
Enumeration date
10/10/2022
Last updated
10/10/2022
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