MEDICARE: BAILEY QUINN BODIEN

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	2255A2300X	Athletic Trainer		PA

General Provider Information

NPI Number	:	1942090725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY QUINN BODIEN

Provider Business Mailing Address
First Line	:	183 BLUESTONE RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17406-9204
Country	:	US
Telephone Number	:	717-623-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	183 BLUESTONE RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17406-9204
Country	:	US
Telephone Number	:	717-623-4142
Fax Number	:

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

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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Directions to “ BAILEY QUINN BODIEN ” Practice Location

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