| Bailey Towns, | |
|
777 Goguac St W Ste B2, Springfield, MI 49015-2097 | |
| (269) 223-7786 | |
| Not Available |
| Full Name | Bailey Towns |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 777 Goguac St W Ste B2, Springfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154177145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Functional Kids Therapy Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578951380 PECOS PAC ID: 6800116633 Enrollment ID: O20150519002144 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Towns, 777 Goguac St W Ste B2, Springfield, MI 49015-2097 Ph: (269) 223-7786 | Bailey Towns, 777 Goguac St W Ste B2, Springfield, MI 49015-2097 Ph: (269) 223-7786 |
Mrs. Toni Willis, MA-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 777 Goguac St W Ste B2, Springfield, MI 49015 Phone: 269-223-7786 | |
Ally Logan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 777 Goguac St W Ste B2, Springfield, MI 49015 Phone: 269-223-7786 Fax: 269-962-9569 | |
Cailin Alivia Amundsen, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 777 Goguac St W Ste B2, Springfield, MI 49015 Phone: 269-223-7786 |