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Individual

HAILEY FAY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 E MAIN AVE, CHEWELAH, WA 99109-8960
(509) 935-2225
Mailing address
PO BOX 203, CHEWELAH, WA 99109-0203
(509) 935-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
00033990
WA
225700000X
Massage Therapist
Primary
61039173
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427045566
CHIROPRACTIC BILLING
WA
01
1942309687
CHIROPRACTIC
WA
Enumeration date
03/31/2021
Last updated
03/31/2021
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