Harry B. Hayne, MPT
Individual provider Active NPI Physical Therapist · Lubbock, TN
NPI 1457446809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457446809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1140234 (TX)
- Practice address
- 3411 58TH St.
Lubbock, TN 79413 - Phone
- (806) 543-0583
- NPI assigned
- Oct 3, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140234 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1140234 | TX | Yes |
Addresses
Primary practice location
3411 58TH St.
Lubbock, TN 79413
Mailing address
3411 58TH St.
Lubbock, TN 79413
Phone (806) 543-0583
Other providers in Lubbock, TN
All providers in Lubbock, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.