Provider Demographics
NPI:1437508439
Name:WHITE, HALEY ARRENDALE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:ARRENDALE
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:ARRENDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:670 ARRENDALE RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-5128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:670 ARRENDALE RD
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-5128
Practice Address - Country:US
Practice Address - Phone:706-344-9316
Practice Address - Fax:706-609-3537
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist