Provider Demographics
NPI:1891130837
Name:TREFFER, HALEY MICHELLE (COTA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MICHELLE
Last Name:TREFFER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 FAITH DR
Mailing Address - Street 2:APT D
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-5273
Mailing Address - Country:US
Mailing Address - Phone:785-342-2485
Mailing Address - Fax:
Practice Address - Street 1:1331 FAITH DR
Practice Address - Street 2:APT D
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5273
Practice Address - Country:US
Practice Address - Phone:785-342-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00861224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant