Provider Demographics
NPI:1780317560
Name:GERKEN, HALEY L (PT, DPT, GCS)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:L
Last Name:GERKEN
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 FOREST MEADOWS CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3365
Mailing Address - Country:US
Mailing Address - Phone:205-937-0084
Mailing Address - Fax:
Practice Address - Street 1:300 ROYAL TOWER DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-6865
Practice Address - Country:US
Practice Address - Phone:205-870-5666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics