Provider Demographics
NPI:1306408273
Name:HAWLEY, SYDNEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 W 94TH TER
Mailing Address - Street 2:STE 112
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2534
Mailing Address - Country:US
Mailing Address - Phone:913-224-2990
Mailing Address - Fax:913-224-2992
Practice Address - Street 1:5200 W 94TH TER
Practice Address - Street 2:STE 112
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-2534
Practice Address - Country:US
Practice Address - Phone:913-224-2990
Practice Address - Fax:913-224-2992
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019023327225100000X
KS1106179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist