Individual
TIFFANY R HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PA.200073
LA
363AS0400X
Surgical Physician Assistant
TPA149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371823
—
LA
Enumeration date
03/10/2006
Last updated
08/29/2025
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