Healthcare Provider Details

I. General information

NPI: 1861705626
Provider Name (Legal Business Name): AMY MARIE HAYES P.T., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CASTRO AT DUBOCE
SAN FRANCISCO CA
94114
US

IV. Provider business mailing address

CASTRO AT DUBOCE
SAN FRANCISCO CA
94114
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-6130
  • Fax:
Mailing address:
  • Phone: 415-600-6130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number25512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: