MEDICARE: ELIJAH DEAN HAY

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	2026008525	MO

General Provider Information

NPI Number	:	1497609978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIJAH DEAN HAY

Provider Business Mailing Address
First Line	:	2009 CAMILLE CT
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-9101
Country	:	US
Telephone Number	:	816-274-2764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 N CHURCH RD
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-7195
Country	:	US
Telephone Number	:	816-368-8226
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ ELIJAH DEAN HAY ” Practice Location

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