Individual
HAYLEY M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Mailing address
317 CORNELL DR SE, ALBUQUERQUE, NM 87106-3584
(505) 301-4477
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4372
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10171568
—
NM
01
—
326556
MEDICARE
NM
Enumeration date
09/04/2013
Last updated
09/04/2013
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