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NPI Code Detail

MEDICARE: HAYLEY ISHIHARA

MEDICARE:   HAYLEY  ISHIHARA
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
1221700000XArt Therapist8742-226WI

General Provider Information

NPI Number : 1255295481
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY ISHIHARA
Provider Business Mailing Address
First Line : 3425 S CHASE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2266 N PROSPECT AVE STE 304
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-6306
Country : US
Telephone Number : 414-323-5833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ HAYLEY ISHIHARA ” Practice Location

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