Provider Demographics
NPI:1558831024
Name:KESSLER, HAYDEN (BS, ACE)
Entity Type:Individual
Prefix:
First Name:HAYDEN
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:BS, ACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 CONSTELLATION TRL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3613
Mailing Address - Country:US
Mailing Address - Phone:307-620-0154
Mailing Address - Fax:
Practice Address - Street 1:1442 MAIN ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-1775
Practice Address - Country:US
Practice Address - Phone:406-606-2643
Practice Address - Fax:808-214-5369
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTT1772062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer