Provider Demographics
NPI:1407664063
Name:BLEIKAMP, BAYLEE KAY (OTR/L)
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:KAY
Last Name:BLEIKAMP
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BAYLEE
Other - Middle Name:KAY
Other - Last Name:YEISLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5009 BRITTANY DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:COTTLEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7188
Mailing Address - Country:US
Mailing Address - Phone:816-825-2687
Mailing Address - Fax:
Practice Address - Street 1:2600 COMPASS RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8001
Practice Address - Country:US
Practice Address - Phone:877-787-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist