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 |
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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 | |
Functional Kids Therapy Center Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 777 Goguac St W Ste B2, Springfield, MI 49015 Phone: 269-832-8224 | |
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 |