NPI 1073003323

Jason Haley

Practitioner Physical Therapy Assistant Madisonville, KY

Practice location

Address: 419 N Seminary St, Madisonville, KY 42431-1515
Phone: (270) 821-5564

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A03493 (KY)

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Registry record

NPI: 1073003323
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2018
Record last updated: 12 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.