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NPI Code Detail

MEDICARE: AARON M HAILEY

MEDICARE: AARON M HAILEY
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
1225200000XPhysical Therapy Assistant2010041503MO

General Provider Information

NPI Number : 1033821285
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON M HAILEY
Provider Business Mailing Address
First Line : 907 S ORNER ST
Second Line :
City : CARTHAGE
State : MO
Zip : 64836-2139
Country : US
Telephone Number : 417-434-1731
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S HUDSON AVE
Second Line :
City : AURORA
State : MO
Zip : 65605-2717
Country : US
Telephone Number : 417-678-2165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2022
Last Update Date : 12/20/2022

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Directions to “ AARON M HAILEY ” Practice Location

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