Provider Demographics
NPI:1043555741
Name:HAY, LEA (PT)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:HAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 BLODGETT DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-4544
Mailing Address - Country:US
Mailing Address - Phone:719-229-2718
Mailing Address - Fax:719-247-2523
Practice Address - Street 1:2920 N CASCADE AVE STE 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6264
Practice Address - Country:US
Practice Address - Phone:719-247-2523
Practice Address - Fax:719-982-7330
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist