# MR. BERT SINCLAIR HAYDEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548263288
- **Gender:** Man
- **Credential:** R.P.T

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT0012 | MS | Yes |

## Other

- **Enumeration date:** 05/26/2005
- **Last updated:** 03/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5171268 | AETNA | MS |
| 01 | — | 650024398 | PALMETTO RAILROAD | MS |