Provider Demographics
NPI:1497448112
Name:BAYLOSIS, LYNDE MAE CASTRO (PT, DPT)
Entity type:Individual
Prefix:
First Name:LYNDE MAE
Middle Name:CASTRO
Last Name:BAYLOSIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:LYNDE MAE
Other - Middle Name:BAYLOSIS
Other - Last Name:QUIJANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-973-3603
Mailing Address - Fax:
Practice Address - Street 1:602 KEENE CENTRE DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-1495
Practice Address - Country:US
Practice Address - Phone:859-544-1762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist