Healthcare Provider Details

I. General information

NPI: 1851201743
Provider Name (Legal Business Name): HAYLEY SCOTT VO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11938 MS-57
VANCLEAVE MS
39565
US

IV. Provider business mailing address

212 SAVANNAH GARDENS RD
OCEAN SPRINGS MS
39564-5765
US

V. Phone/Fax

Practice location:
  • Phone: 609-658-8468
  • Fax:
Mailing address:
  • Phone: 609-658-8468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4142
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: