Provider Demographics
NPI:1306067590
Name:BAILEY, DELPHA GAIL (PT)
Entity type:Individual
Prefix:MRS
First Name:DELPHA
Middle Name:GAIL
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:DELPHA
Other - Middle Name:GAIL
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11705 BAILEY LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-9132
Mailing Address - Country:US
Mailing Address - Phone:270-886-4854
Mailing Address - Fax:
Practice Address - Street 1:254 MAIN ST
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:KY
Practice Address - Zip Code:42211-9153
Practice Address - Country:US
Practice Address - Phone:270-522-2533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist