Provider Demographics
NPI:1811639966
Name:BHAMBRI, HAILEY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HAILEY
Middle Name:
Last Name:BHAMBRI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:PERSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4201 W UNION HILLS DR APT 1012
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1739
Mailing Address - Country:US
Mailing Address - Phone:623-377-5456
Mailing Address - Fax:
Practice Address - Street 1:5605 W EUGIE AVE STE 215
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1275
Practice Address - Country:US
Practice Address - Phone:480-210-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist