Naomi Haney
Individual provider Active NPI Physical Therapy Assistant · Hull, GA
NPI 1043765167 · NPPES record last updated Aug 18, 2016
Key facts
- NPI
- 1043765167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA002837 (GA)
- Practice address
- 7209 Highway 106 S
Hull, GA 30646-3032 - Phone
- (706) 202-1546
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002837 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002837 | GA | Yes |
Addresses
Primary practice location
7209 Highway 106 S
Hull, GA 30646-3032
Mailing address
7209 Highway 106 S
Hull, GA 30646-3032
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- Georgia Telehealth, LLC
- Judy B Holloman
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- Erica L Johnson
- Angela Kiel
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All providers in Hull, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.