Healthcare Provider Details

I. General information

NPI: 1396223483
Provider Name (Legal Business Name): HAYLEY LAWLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MILES ST
DAMARISCOTTA ME
04543-4047
US

IV. Provider business mailing address

35 MILES ST
DAMARISCOTTA ME
04543-4047
US

V. Phone/Fax

Practice location:
  • Phone: 207-563-4837
  • Fax: 207-563-4321
Mailing address:
  • Phone: 207-563-4837
  • Fax: 207-563-4321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7401
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: