Provider Demographics
NPI:1780168930
Name:HAYS, VICKY J
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:J
Last Name:HAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 WALNUT MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:PAINT LICK
Mailing Address - State:KY
Mailing Address - Zip Code:40461-8584
Mailing Address - Country:US
Mailing Address - Phone:859-200-6800
Mailing Address - Fax:
Practice Address - Street 1:4800 WALNUT MEADOW RD
Practice Address - Street 2:
Practice Address - City:PAINT LICK
Practice Address - State:KY
Practice Address - Zip Code:40461-8584
Practice Address - Country:US
Practice Address - Phone:859-200-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-23
Last Update Date:2018-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA2238224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant