MEDICARE: SARA ELIZABETH HAYES

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1689287252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ELIZABETH HAYES

Provider Business Mailing Address
First Line	:	1228 W LLOYD ST STE 100
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1228 W LLOYD ST STE 100
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1243
Country	:	US
Telephone Number	:	414-445-8020
Fax Number	:

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

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	05/13/2026

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