Provider Demographics
NPI:1831450279
Name:HALL, HILEY N (PT)
Entity type:Individual
Prefix:DR
First Name:HILEY
Middle Name:N
Last Name:HALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HILEY
Other - Middle Name:N
Other - Last Name:LUNSFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1841 PIEDMONT RD N STE C
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73078-7008
Mailing Address - Country:US
Mailing Address - Phone:405-883-5050
Mailing Address - Fax:405-883-3001
Practice Address - Street 1:1841 PIEDMONT RD N STE C
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:OK
Practice Address - Zip Code:73078-7008
Practice Address - Country:US
Practice Address - Phone:405-883-5050
Practice Address - Fax:405-883-3001
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4202225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist