Provider Demographics
NPI:1861659674
Name:HAY, SHEILA KATHLEEN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:KATHLEEN
Last Name:HAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:TOK
Mailing Address - State:AK
Mailing Address - Zip Code:99780-0247
Mailing Address - Country:US
Mailing Address - Phone:907-883-3646
Mailing Address - Fax:907-883-4077
Practice Address - Street 1:MP 1317.6 ALASKA HIGHWAY
Practice Address - Street 2:
Practice Address - City:TOK
Practice Address - State:AK
Practice Address - Zip Code:99780
Practice Address - Country:US
Practice Address - Phone:907-883-3646
Practice Address - Fax:907-883-4077
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2008-1068174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist