Provider Demographics
NPI:1922648450
Name:LARMAN, HAYDEN (ATC, LAT, EMT)
Entity Type:Individual
Prefix:
First Name:HAYDEN
Middle Name:
Last Name:LARMAN
Suffix:
Gender:F
Credentials:ATC, LAT, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3356 E MORRISON RANCH PWKY
Mailing Address - Street 2:
Mailing Address - City:GILBRT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:214-808-3919
Mailing Address - Fax:
Practice Address - Street 1:16100 E PALISADES BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-2755
Practice Address - Country:US
Practice Address - Phone:214-808-3919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20000361042255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer