Provider Demographics
NPI:1194245480
Name:BREYER, HAYLEY CATHERINE
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:CATHERINE
Last Name:BREYER
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 1:27060 JONQUIL AVE
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:MN
Mailing Address - Zip Code:55020-9703
Mailing Address - Country:US
Mailing Address - Phone:952-994-8347
Mailing Address - Fax:
Practice Address - Street 1:27060 JONQUIL AVE.
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:MN
Practice Address - Zip Code:55020
Practice Address - Country:US
Practice Address - Phone:952-994-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer