Individual
BRETT E HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.PT,
Contact information
Practice address
3035 W. MCMILLAN ROAD, SUITE 104, MERIDIAN, ID 83646-1080
(208) 887-8684
(208) 887-9226
Mailing address
3035 W. MCMILLAN ROAD, SUITE 104, MERIDIAN, ID 83646-1080
(208) 887-8684
(208) 887-9226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2036
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010171917
REGENCE BLUE SHIELD
ID
05
—
807962600
—
ID
01
—
820520880
TRICARE
ID
01
—
TD821
BLUE CROSS
ID
Enumeration date
11/05/2007
Last updated
02/07/2012
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