Provider Demographics
NPI:1861799082
Name:BAILEY, DANIELLE L (PT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:L
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 MAPLESHADE LANE
Mailing Address - Street 2:SUITE 156
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0050
Mailing Address - Country:US
Mailing Address - Phone:708-415-4386
Mailing Address - Fax:214-736-1190
Practice Address - Street 1:4324 MAPLESHADE LN STE 156
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0050
Practice Address - Country:US
Practice Address - Phone:708-415-4386
Practice Address - Fax:214-736-1190
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
TX1229073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist