Healthcare Provider Details

I. General information

NPI: 1710766886
Provider Name (Legal Business Name): BAILEY MILLER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W COLLEGE PKWY
CARSON CITY NV
89703-8460
US

IV. Provider business mailing address

4790 SALISBURY ST NE
HICKORY NC
28601-7756
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax:
Mailing address:
  • Phone: 828-896-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberP21480
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP057921T
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: