Provider Demographics
NPI:1386417087
Name:HALLEY, HAYDEN BRIGGS
Entity type:Individual
Prefix:
First Name:HAYDEN
Middle Name:BRIGGS
Last Name:HALLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12488 327TH RD
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63565-3839
Mailing Address - Country:US
Mailing Address - Phone:660-216-6540
Mailing Address - Fax:
Practice Address - Street 1:12488 327TH RD
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:MO
Practice Address - Zip Code:63565-3839
Practice Address - Country:US
Practice Address - Phone:660-216-6540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer