Provider Demographics
NPI:1558723643
Name:HAYES, DEONNA NICOLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DEONNA
Middle Name:NICOLE
Last Name:HAYES
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 1:120 NEMOURA CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6508
Mailing Address - Country:US
Mailing Address - Phone:404-441-2933
Mailing Address - Fax:678-884-6652
Practice Address - Street 1:120 NEMOURA CT
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-6508
Practice Address - Country:US
Practice Address - Phone:404-441-2933
Practice Address - Fax:678-884-6652
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12685492251P0200X
GAPT012739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics