MEDICARE: HAYPAR THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1023714136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYPAR THERAPY LLC

Provider Business Mailing Address
First Line	:	330 POYNTZ AVE STE 276
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-8039
Country	:	US
Telephone Number	:	913-353-4062
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 POYNTZ AVE STE 276
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-8039
Country	:	US
Telephone Number	:	913-353-4062
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING AGENT
Name	:	TERESA RIFE
Credential	:
Telephone Number	:	785-301-8756

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	02/01/2023

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