Provider Demographics
NPI:1902994015
Name:BAILEY, KERRI MCINTOSH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:MCINTOSH
Last Name:BAILEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 WOODLANDS PL
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3466
Mailing Address - Country:US
Mailing Address - Phone:205-978-9938
Mailing Address - Fax:205-968-4157
Practice Address - Street 1:3057 LORNA RD
Practice Address - Street 2:SUITE 260
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4514
Practice Address - Country:US
Practice Address - Phone:205-567-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0026225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics