Provider Demographics
NPI:1437691813
Name:JONES, HALEY (PT)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:JONES
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 1:25 N HAMPSTEAD VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3932
Mailing Address - Country:US
Mailing Address - Phone:910-270-6026
Mailing Address - Fax:910-270-6028
Practice Address - Street 1:25 N HAMPSTEAD VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3932
Practice Address - Country:US
Practice Address - Phone:910-270-6026
Practice Address - Fax:910-270-6028
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP10173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist