Healthcare Provider Details

I. General information

NPI: 1538092317
Provider Name (Legal Business Name): HAILEY MAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 4TH ST
MONROE WI
53566-1176
US

IV. Provider business mailing address

925 16TH AVE
MONROE WI
53566-1763
US

V. Phone/Fax

Practice location:
  • Phone: 608-328-7183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5721-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: