Healthcare Provider Details

I. General information

NPI: 1467651208
Provider Name (Legal Business Name): KAREN ANN HAYS LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HARTMAN PL SUITE 200
SAINT CLAIR MO
63077-2464
US

IV. Provider business mailing address

214 HARTMAN PL SUITE 200
SAINT CLAIR MO
63077-2464
US

V. Phone/Fax

Practice location:
  • Phone: 636-629-9826
  • Fax: 636-629-0359
Mailing address:
  • Phone: 636-629-9826
  • Fax: 636-629-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number116912
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: