Provider Demographics
NPI:1083127302
Name:DESCOTEAUX, HAILEY DAWN (DC)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:DAWN
Last Name:DESCOTEAUX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 W GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2620
Mailing Address - Country:US
Mailing Address - Phone:509-467-2888
Mailing Address - Fax:866-829-9633
Practice Address - Street 1:1605 W GARLAND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2620
Practice Address - Country:US
Practice Address - Phone:509-467-2888
Practice Address - Fax:866-829-9633
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60802200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor