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NPI Code Detail

MEDICARE: HAYDEN RICH

MEDICARE: HAYDEN RICH
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 Therapist1405594TX

General Provider Information

NPI Number : 1942005517
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYDEN RICH
Provider Business Mailing Address
First Line : 1650 LYNDON FARM CT STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5005
Country : US
Telephone Number : 726-202-3039
Fax Number :
Provider Business Practice Location Address
First Line : 1789 S BAGDAD RD STE 102
Second Line :
City : LEANDER
State : TX
Zip : 78641-3795
Country : US
Telephone Number : 512-337-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/17/2025

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Directions to “ HAYDEN RICH ” Practice Location

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