Individual
HALEY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6298 VETERANS PKWY STE 5A, COLUMBUS, GA 31909-6245
(719) 488-0120
(719) 488-1427
Mailing address
6824 TERRY DR, FORT BENNING, GA 31905-2758
(214) 796-6746
(719) 495-8685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015796
GA
225100000X
Physical Therapist
PTL.0017520
CO
Other
Enumeration date
03/29/2021
Last updated
09/13/2023
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