Provider Demographics
NPI:1548651383
Name:NOBLE, HALEY (DPT, OCS)
Entity type:Individual
Prefix:MS
First Name:HALEY
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 W LINCOLN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2406
Mailing Address - Country:US
Mailing Address - Phone:509-573-4816
Mailing Address - Fax:509-573-4825
Practice Address - Street 1:2006 W LINCOLN AVE STE A
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-453-4816
Practice Address - Fax:509-453-4825
Is Sole Proprietor?:No
Enumeration Date:2015-02-16
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7763225100000X
WAPT60548799225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist