Provider Demographics
NPI:1679013106
Name:HAYES, SKYLA (LAC)
Entity Type:Individual
Prefix:
First Name:SKYLA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 W ONTARIO DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4032
Mailing Address - Country:US
Mailing Address - Phone:303-525-0937
Mailing Address - Fax:
Practice Address - Street 1:9789 W COAL MINE AVE
Practice Address - Street 2:UNIT C
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-8006
Practice Address - Country:US
Practice Address - Phone:303-525-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002271171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist