Provider Demographics
NPI:1174264592
Name:HAYS, MIKAELA JEAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MIKAELA
Middle Name:JEAN
Last Name:HAYS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MIKAELA
Other - Middle Name:JEAN
Other - Last Name:DORSHORST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 N OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3000
Practice Address - Country:US
Practice Address - Phone:785-452-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist