Provider Demographics
NPI:1770602534
Name:HAYES, JOYCE ROSE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ROSE
Last Name:HAYES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:ROSE
Other - Last Name:RALSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:3832 TAYLORSVILLE RD
Mailing Address - Street 2:STE 7
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220
Mailing Address - Country:US
Mailing Address - Phone:502-458-3438
Mailing Address - Fax:502-458-3662
Practice Address - Street 1:3832 TAYLORSVILLE RD
Practice Address - Street 2:STE 7
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220
Practice Address - Country:US
Practice Address - Phone:502-458-3438
Practice Address - Fax:502-458-3662
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK0011723OtherTRICARE
50182OtherANTHEM BCBS
50182OtherANTHEM BCBS
KYK0011723OtherTRICARE