Healthcare Provider Details

I. General information

NPI: 1023714136
Provider Name (Legal Business Name): HAYPAR THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 POYNTZ AVE STE 276
MANHATTAN KS
66502-8039
US

IV. Provider business mailing address

330 POYNTZ AVE STE 276
MANHATTAN KS
66502-8039
US

V. Phone/Fax

Practice location:
  • Phone: 913-353-4062
  • Fax:
Mailing address:
  • Phone: 913-353-4062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TERESA RIFE
Title or Position: CREDENTIALING AGENT
Credential:
Phone: 785-301-8756