Individual
HAYLEY GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
327 N 17TH AVE STE 7, WAUSAU, WI 54401-4283
(715) 845-2942
(715) 842-3416
Mailing address
24014 W RENWICK RD, STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1246068
TX
225100000X
Physical Therapist
Primary
15294-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340719901
—
TX
01
—
86TT62
BLUE CROSS BLUE SHIELD
TX
01
—
P01425845
MEDICARE RAILROAD
TX
Enumeration date
08/12/2014
Last updated
02/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us