Healthcare Provider Details

I. General information

NPI: 1902761034
Provider Name (Legal Business Name): BAILEY ELIZABETH HATCHER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8986 W DEER CREEK WAY
MIDDLETOWN IN
47356-9775
US

IV. Provider business mailing address

8986 W DEER CREEK WAY
MIDDLETOWN IN
47356-9775
US

V. Phone/Fax

Practice location:
  • Phone: 765-716-1931
  • Fax:
Mailing address:
  • Phone: 765-716-1931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: