Healthcare Provider Details

I. General information

NPI: 1841220142
Provider Name (Legal Business Name): BAILEY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 FRISCO AVE
METAIRIE LA
70005-4132
US

IV. Provider business mailing address

604 FRISCO AVE
METAIRIE LA
70005-4132
US

V. Phone/Fax

Practice location:
  • Phone: 504-835-7554
  • Fax:
Mailing address:
  • Phone: 504-835-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberE2296
License Number StateLA

VIII. Authorized Official

Name: LYNN K BAILEY
Title or Position: OWNER
Credential:
Phone: 504-835-7554