Provider Demographics
NPI:1114980216
Name:HAY, TIMOTHY S (ATC)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:S
Last Name:HAY
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:25 BRIARWOOD LN
Mailing Address - Street 2:APT 1
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2504
Mailing Address - Country:US
Mailing Address - Phone:508-963-7486
Mailing Address - Fax:508-767-7032
Practice Address - Street 1:500 SALISBURY ST
Practice Address - Street 2:ASSUMPTION COLLEGE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1265
Practice Address - Country:US
Practice Address - Phone:508-767-7238
Practice Address - Fax:508-767-7032
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA15692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer