Healthcare Provider Details

I. General information

NPI: 1922963040
Provider Name (Legal Business Name): BAYLEE HADLEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

202 FRANKFORT ST STE 103104
VERSAILLES KY
40383-1000
US

IV. Provider business mailing address

732 BEACON ST
RUSSELL SPRINGS KY
42642-9033
US

V. Phone/Fax

Practice location:
  • Phone: 859-212-9705
  • Fax:
Mailing address:
  • Phone: 859-212-9705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number264096
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: