Provider Demographics
NPI:1154058477
Name:DROESSLER, BAILEY R (PT)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:R
Last Name:DROESSLER
Suffix:
Gender:
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:N514 WILLOWCREST CT
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-5701
Mailing Address - Country:US
Mailing Address - Phone:920-202-6756
Mailing Address - Fax:
Practice Address - Street 1:1207 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3037
Practice Address - Country:US
Practice Address - Phone:920-593-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist