Provider Demographics
NPI:1114807393
Name:SKALSKY, HAILEY
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:SKALSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11881 LK AND W RD
Mailing Address - Street 2:
Mailing Address - City:LEONARDVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66449-9694
Mailing Address - Country:US
Mailing Address - Phone:785-410-4972
Mailing Address - Fax:
Practice Address - Street 1:11881 LK AND W RD
Practice Address - Street 2:
Practice Address - City:LEONARDVILLE
Practice Address - State:KS
Practice Address - Zip Code:66449-9694
Practice Address - Country:US
Practice Address - Phone:785-410-4972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty