Provider Demographics
NPI:1174377303
Name:HOLLIS, HAYLEE NICOLE (MAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:NICOLE
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MAGUIRE PARK ST APT 201
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4931
Mailing Address - Country:US
Mailing Address - Phone:407-687-8278
Mailing Address - Fax:
Practice Address - Street 1:10393 SEIDEL RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-6559
Practice Address - Country:US
Practice Address - Phone:407-554-1814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer