Provider Demographics
NPI:1437926706
Name:DEMLER, HAYLEY MICHELLE
Entity type:Individual
Prefix:MS
First Name:HAYLEY
Middle Name:MICHELLE
Last Name:DEMLER
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 1:52302 TALLYHO DR N
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1049
Mailing Address - Country:US
Mailing Address - Phone:574-222-3082
Mailing Address - Fax:
Practice Address - Street 1:52302 TALLYHO DR N
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1049
Practice Address - Country:US
Practice Address - Phone:574-222-3082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer