Provider Demographics
NPI:1528418043
Name:HAYS, JOHN LOGAN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:LOGAN
Last Name:HAYS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 KENTUCKY AVE S
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-3105
Mailing Address - Country:US
Mailing Address - Phone:731-847-6371
Mailing Address - Fax:
Practice Address - Street 1:726 KENTUCKY AVE S
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-3105
Practice Address - Country:US
Practice Address - Phone:731-847-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist