Provider Demographics
NPI:1740739465
Name:HALLES, AIMEE PEPPLE (DPT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:PEPPLE
Last Name:HALLES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:PEPPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7568
Mailing Address - Fax:
Practice Address - Street 1:1124 N GATEWAY AVE STE 3
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:TN
Practice Address - Zip Code:37854-4214
Practice Address - Country:US
Practice Address - Phone:865-882-9183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.022634225100000X
TN225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist