Provider Demographics
NPI:1285333476
Name:MARCOTTE, BAILEY JO (DC)
Entity type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:JO
Last Name:MARCOTTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:JO
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MN
Mailing Address - Zip Code:56762-1122
Mailing Address - Country:US
Mailing Address - Phone:218-745-6655
Mailing Address - Fax:218-745-4049
Practice Address - Street 1:603 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MN
Practice Address - Zip Code:56762-1122
Practice Address - Country:US
Practice Address - Phone:218-745-6655
Practice Address - Fax:218-745-4049
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor