Individual provider · Type 1 NPI
Bailey Deatherage
Student in an Organized Health Care Education/Training Program · Alvarado, TX
NPI number
1043942444
Active
Practice location
8224 County Road 604
Alvarado, TX 76009-8642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1043942444
Bailey Deatherage's National Provider Identifier is 1043942444, issued on Jun 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alvarado, TX. The record was last updated on Jun 26, 2022.