MEDICARE: CAITLYN BAILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital	0000001946	TN

General Provider Information

NPI Number	:	1154786150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN BAILEY

Provider Business Mailing Address
First Line	:	516 RIDGEVIEW DR
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-4113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-343-9430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2015
Last Update Date	:	12/18/2015

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Directions to “ CAITLYN BAILEY ” Practice Location

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