Provider Demographics
NPI:1659523793
Name:HALE, STEPHEN FRANKIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FRANKIE
Last Name:HALE
Suffix:
Gender:M
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 1:605 N GILBERT RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-6629
Mailing Address - Country:US
Mailing Address - Phone:480-833-2778
Mailing Address - Fax:480-833-0232
Practice Address - Street 1:605 N GILBERT RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-6629
Practice Address - Country:US
Practice Address - Phone:480-833-2778
Practice Address - Fax:480-833-0232
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7839174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist