MEDICARE: MRS. CHRISTINE HAYES MS 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	016300-1	NY
2	225100000X	Physical Therapist	PT 25297	FL

General Provider Information

NPI Number	:	1619056843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE HAYES MS PT

Provider Business Mailing Address
First Line	:	1754 SW CRANE CREEK CIR
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2232
Country	:	US
Telephone Number	:	772-286-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1754 SW CRANE CREEK CIR
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2232
Country	:	US
Telephone Number	:	772-286-5323
Fax Number	:

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	12/30/2010

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