Individual
HAILEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 257-8500
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14608
TN
225100000X
Physical Therapist
Primary
16044-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
05
—
100294906
—
WI
Enumeration date
10/17/2022
Last updated
03/06/2025
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