MEDICARE: HALEY S HARVEY

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
2	111N00000X	Chiropractor	CHR.0007244	CO

General Provider Information

NPI Number	:	1922573062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY S HARVEY

Provider Business Mailing Address
First Line	:	2329 W MAIN ST STE 102
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-8200
Country	:	US
Telephone Number	:	303-797-0988
Fax Number	:	303-797-8011

Provider Business Practice Location Address
First Line	:	9806 S CRYSTAL LAKE DR
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80125-8429
Country	:	US
Telephone Number	:	406-690-2602
Fax Number	:

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

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	08/14/2024

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Directions to “ HALEY S HARVEY ” Practice Location

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