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NPI Code Detail

MEDICARE: HAILEY THOMPSON OTR/L

MEDICARE:   HAILEY  THOMPSON  OTR/L
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
1225XP0019XPhysical Rehabilitation Occupational Therapist

General Provider Information

NPI Number : 1326993221
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY THOMPSON OTR/L
Provider Business Mailing Address
First Line : 2428 S 450 E
Second Line :
City : KNOX
State : IN
Zip : 46534-7915
Country : US
Telephone Number : 574-249-8518
Fax Number :
Provider Business Practice Location Address
First Line : 725 MARLANDWOOD RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-3573
Country : US
Telephone Number : 940-239-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ HAILEY THOMPSON OTR/L” Practice Location

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