Provider Demographics
NPI:1962932236
Name:FEEKINGS, BAILEY (ATC)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:FEEKINGS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MANITOU RD
Mailing Address - Street 2:
Mailing Address - City:MANITOU BEACH
Mailing Address - State:MI
Mailing Address - Zip Code:49253-9661
Mailing Address - Country:US
Mailing Address - Phone:517-416-6819
Mailing Address - Fax:
Practice Address - Street 1:210 MANITOU RD
Practice Address - Street 2:
Practice Address - City:MANITOU BEACH
Practice Address - State:MI
Practice Address - Zip Code:49253
Practice Address - Country:US
Practice Address - Phone:517-416-6819
Practice Address - Fax:517-416-6819
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program