Provider Demographics
NPI:1356308449
Name:HAYEK, KATY (PTA)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:HAYEK
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5069 SPANISH OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5448
Mailing Address - Country:US
Mailing Address - Phone:843-357-6797
Mailing Address - Fax:843-357-6935
Practice Address - Street 1:5069 SPANISH OAKS CT
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5448
Practice Address - Country:US
Practice Address - Phone:843-357-6797
Practice Address - Fax:843-357-6935
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant