Healthcare Provider Details

I. General information

NPI: 1013744861
Provider Name (Legal Business Name): HALEY SALYER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 05/19/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 MOUNTAIN BETHEL RD
GREENVILLE TN
37745-7504
US

IV. Provider business mailing address

2378 GOSHEN VALLEY RD
CHURCH HILL TN
37642-5041
US

V. Phone/Fax

Practice location:
  • Phone: 423-787-1711
  • Fax:
Mailing address:
  • Phone: 423-429-4320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119010521
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8023
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: