MEDICARE: HALEY AMBER WAISE DPT

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	1406937	TX

General Provider Information

NPI Number	:	1629818679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY AMBER WAISE DPT

Provider Business Mailing Address
First Line	:	606 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1637
Country	:	US
Telephone Number	:	210-924-2005
Fax Number	:

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

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	05/19/2026

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Directions to “ HALEY AMBER WAISE DPT” Practice Location

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