Provider Demographics
NPI:1659064269
Name:SABO, HALEY JOHANNA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:JOHANNA
Last Name:SABO
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 1:3486 WILLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-4000
Mailing Address - Country:US
Mailing Address - Phone:937-479-1557
Mailing Address - Fax:
Practice Address - Street 1:233 RUCCIO WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3584
Practice Address - Country:US
Practice Address - Phone:859-554-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist