Provider Demographics
NPI:1295812576
Name:HADLEY, DAVID LEE (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEE
Last Name:HADLEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 S GILBERT RD STE 5
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5105
Mailing Address - Country:US
Mailing Address - Phone:480-773-7778
Mailing Address - Fax:480-773-7851
Practice Address - Street 1:3180 S GILBERT RD STE 5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5105
Practice Address - Country:US
Practice Address - Phone:480-773-7778
Practice Address - Fax:480-773-7851
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist