Healthcare Provider Details

I. General information

NPI: 1285579144
Provider Name (Legal Business Name): HAILEY FAITH LIGGETT PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CLERMONT CENTER DR
BATAVIA OH
45103-1990
US

IV. Provider business mailing address

4427 AICHOLTZ RD APT 216
CINCINNATI OH
45245-2076
US

V. Phone/Fax

Practice location:
  • Phone: 513-735-8371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number013875
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: