Provider Demographics
NPI:1538755970
Name:REJCEK, BAYLEE C
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:C
Last Name:REJCEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N KERR ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMING GROVE
Mailing Address - State:TX
Mailing Address - Zip Code:76626-3390
Mailing Address - Country:US
Mailing Address - Phone:903-602-9571
Mailing Address - Fax:
Practice Address - Street 1:410 N KERR ST
Practice Address - Street 2:
Practice Address - City:BLOOMING GROVE
Practice Address - State:TX
Practice Address - Zip Code:76626-3390
Practice Address - Country:US
Practice Address - Phone:903-602-9571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer