Provider Demographics
NPI:1619868726
Name:HAYES, NOELLE (LMT)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOLIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HAVELOCK
Mailing Address - State:NC
Mailing Address - Zip Code:28532-3628
Mailing Address - Country:US
Mailing Address - Phone:901-467-8893
Mailing Address - Fax:
Practice Address - Street 1:3 COOLIDGE CT
Practice Address - Street 2:
Practice Address - City:HAVELOCK
Practice Address - State:NC
Practice Address - Zip Code:28532-3628
Practice Address - Country:US
Practice Address - Phone:901-467-8893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21231225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist