Provider Demographics
NPI:1639257694
Name:HAYES, DENISE L (PT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:L
Last Name:HAYES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:PHENICIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:16720 SE 271ST ST
Mailing Address - Street 2:STE 200
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042
Mailing Address - Country:US
Mailing Address - Phone:253-630-5808
Mailing Address - Fax:253-630-6438
Practice Address - Street 1:16720 SE 271ST ST
Practice Address - Street 2:STE 200
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-7342
Practice Address - Country:US
Practice Address - Phone:253-630-5808
Practice Address - Fax:253-630-6438
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT9140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8855120Medicare PIN