MEDICARE: MR. MATHEW HAYES PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8032	CO
2	225100000X	Physical Therapist	8823	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8032	OTHER	CO	LIC NUMBER

General Provider Information

NPI Number	:	1174693634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATHEW HAYES PT

Provider Business Mailing Address
First Line	:	2001 MALLORY LN
Second Line	:	STE 201
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8233
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:	615-221-9054

Provider Business Practice Location Address
First Line	:	5073 MAIN ST
Second Line	:	SUITE 120
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2737
Country	:	US
Telephone Number	:	615-302-3564
Fax Number	:	302-602-3067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	12/31/2013

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Directions to “ MR. MATHEW HAYES PT” Practice Location

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