Provider Demographics
NPI:1285288365
Name:CHUFAR, HAILEY BELLE (LAT, ATC)
Entity type:Individual
Prefix:MS
First Name:HAILEY
Middle Name:BELLE
Last Name:CHUFAR
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-2539
Mailing Address - Country:US
Mailing Address - Phone:425-516-5875
Mailing Address - Fax:
Practice Address - Street 1:131 BARNHILL ARENA
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72702
Practice Address - Country:US
Practice Address - Phone:425-516-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-28
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
ARAT-9582255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer