Individual
MR. BRANDON C HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, CPT, NASM
Contact information
Practice address
1 WESTBROOK CMN, SUITE 2, WESTBROOK, ME 04092-2804
(207) 854-1239
(207) 854-1230
Mailing address
PO BOX 310, WESTBROOK, ME 04098-0310
(207) 854-1239
(207) 854-1230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA1387
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616600099
—
ME
Enumeration date
10/02/2009
Last updated
10/02/2009
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