Provider Demographics
NPI:1407979909
Name:HAYS, RICHARD EARL (LMT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:EARL
Last Name:HAYS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2739
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-2739
Mailing Address - Country:US
Mailing Address - Phone:772-219-9171
Mailing Address - Fax:772-463-3648
Practice Address - Street 1:1051 SE OCEAN BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2500
Practice Address - Country:US
Practice Address - Phone:772-219-9171
Practice Address - Fax:772-463-3648
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA27767225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist