Bailey Deatherage
Bailey Deatherage is a Student in an Organized Health Care Education/Training Program in Alvarado, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
8224 County Road 604Alvarado, TX 76009-8642
Phone: (682) 472-2569
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (TX) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (TX) |
Record details
| NPI number | 1043942444 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2022 |
| Last updated in NPPES | June 26, 2022 |
| Certification date | June 26, 2022 |
| Mailing address | 8224 County Road 604, Alvarado, TX 76009-8642 |