Provider Demographics
NPI:1588959753
Name:HAYS, SUSAN MICHELE (PT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MICHELE
Last Name:HAYS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:S.
Other - Middle Name:MICHELE
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, C/NDT
Mailing Address - Street 1:7426 BAR T DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5765
Mailing Address - Country:US
Mailing Address - Phone:361-537-0269
Mailing Address - Fax:361-991-7339
Practice Address - Street 1:7426 BAR T DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-5765
Practice Address - Country:US
Practice Address - Phone:361-537-0269
Practice Address - Fax:361-991-7339
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10357562251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics