Provider Demographics
NPI:1750594685
Name:HAYS, MARCY JANE (PT)
Entity type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:JANE
Last Name:HAYS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W FREEMAN LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-6152
Mailing Address - Country:US
Mailing Address - Phone:765-748-1826
Mailing Address - Fax:765-896-8220
Practice Address - Street 1:4301 W FREEMAN LN
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-6152
Practice Address - Country:US
Practice Address - Phone:765-748-1826
Practice Address - Fax:765-896-8220
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05004573A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist