Provider Demographics
NPI:1588031983
Name:HAWLEY, JOSHUA ALLEN (ATC/LAT, MHA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ALLEN
Last Name:HAWLEY
Suffix:
Gender:M
Credentials:ATC/LAT, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 NW 158TH ST
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4637
Mailing Address - Country:US
Mailing Address - Phone:515-897-9216
Mailing Address - Fax:
Practice Address - Street 1:CHESLEA CREEK 1501 4TH STREET SOUTHWEST
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-5040
Practice Address - Country:US
Practice Address - Phone:641-428-7498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer