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NPI Code Detail

MEDICARE: ALEXA HAGGARD DPT

MEDICARE: ALEXA HAGGARD 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
1225100000XPhysical TherapistP20387NC

General Provider Information

NPI Number : 1669040572
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA HAGGARD DPT
Provider Business Mailing Address
First Line : 7500 WOODS LN UNIT 42
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-8784
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 287 WILLIAMSON RD STE A
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-6967
Country : US
Telephone Number : 704-360-5511
Fax Number : 704-360-5513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 06/23/2025

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