Provider Demographics
NPI:1497161913
Name:BAWEK, HALEY ANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:ANNE
Last Name:BAWEK
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 1:9332 N 95TH WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5536
Mailing Address - Country:US
Mailing Address - Phone:480-614-5878
Mailing Address - Fax:480-614-5860
Practice Address - Street 1:9332 N 95TH WAY STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5536
Practice Address - Country:US
Practice Address - Phone:480-614-5878
Practice Address - Fax:480-614-5860
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9627225100000X
AZLPT-32194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist