Provider Demographics
NPI:1891303681
Name:YAROS, HALEY M (MSOT, OTRL)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:M
Last Name:YAROS
Suffix:
Gender:F
Credentials:MSOT, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 S GREY RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-8951
Mailing Address - Country:US
Mailing Address - Phone:989-708-6762
Mailing Address - Fax:
Practice Address - Street 1:5600 WALDO AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6438
Practice Address - Country:US
Practice Address - Phone:989-575-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201010805225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist