Provider Demographics
NPI:1417185836
Name:HAYES, RAY H II (PT)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:H
Last Name:HAYES
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 KESWICK DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-5315
Mailing Address - Country:US
Mailing Address - Phone:434-793-8344
Mailing Address - Fax:
Practice Address - Street 1:4035 KESWICK DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-5315
Practice Address - Country:US
Practice Address - Phone:434-793-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004118225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist