Healthcare Provider Details

I. General information

NPI: 1093040792
Provider Name (Legal Business Name): HAILEY LYNN STRAMPEL NCTMB, RMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3919 TENNYSON ST C/O BODY IN BALANCE PHYSICAL THERAPY
DENVER CO
80212-2113
US

IV. Provider business mailing address

110 CLAY ST
DENVER CO
80219-1616
US

V. Phone/Fax

Practice location:
  • Phone: 303-888-8294
  • Fax:
Mailing address:
  • Phone: 303-888-8294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number747
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: