Individual
JASON HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
Mailing address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03493
KY
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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