Provider Demographics
NPI:1598811879
Name:KAMAL, HAYA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:HAYA
Middle Name:
Last Name:KAMAL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 BEL PORT DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4853
Mailing Address - Country:US
Mailing Address - Phone:702-438-7156
Mailing Address - Fax:
Practice Address - Street 1:214 BEL PORT DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-4853
Practice Address - Country:US
Practice Address - Phone:702-438-7156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28861225100000X
HIPT2609225100000X
NV1996225100000X
NY62 026911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist