Provider Demographics
NPI:1124786884
Name:SKARPNESS, BAILEY CHRISTINE (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:CHRISTINE
Last Name:SKARPNESS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:MS
Other - First Name:BAILEY
Other - Middle Name:CHRISTINE
Other - Last Name:CONDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:1450 OFFICE PARK RD APT 307
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2479
Mailing Address - Country:US
Mailing Address - Phone:641-812-0506
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:641-812-0506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15646225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist