Timothy Martin Haiar, PT

Individual provider Active NPI Physical Therapist · Miller, SD

NPI 1265864995 · NPPES record last updated Aug 5, 2013

Key facts

NPI
1265864995
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1701 (SD)
Practice address
300 W 5TH St
Miller, SD 57362-1238
Phone
(605) 853-2421
Fax
(605) 853-0333
NPI assigned
Aug 5, 2013
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1701 SD Yes

Addresses

Primary practice location

300 W 5TH St
Miller, SD 57362-1238

Mailing address

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-2421

Other providers in Miller, SD

All providers in Miller, SD · Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.