Provider Demographics
NPI:1407833551
Name:HAYES, BARBARA L (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:HAYES
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 1:533 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-6302
Mailing Address - Country:US
Mailing Address - Phone:618-462-0201
Mailing Address - Fax:618-462-1741
Practice Address - Street 1:533 E 3RD ST
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-6302
Practice Address - Country:US
Practice Address - Phone:618-462-0201
Practice Address - Fax:618-462-1741
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK20225Medicare ID - Type Unspecified