Provider Demographics
NPI:1316631575
Name:MARSTELLER, HAYLEE NICOLE (MS, ATC)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:NICOLE
Last Name:MARSTELLER
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 ALLIE CAT WAY
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-3679
Mailing Address - Country:US
Mailing Address - Phone:913-704-7415
Mailing Address - Fax:
Practice Address - Street 1:8309 ALLIE CAT WAY
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-3679
Practice Address - Country:US
Practice Address - Phone:913-704-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260028102083S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine