Provider Demographics
NPI:1588473615
Name:HUFFMAN, HAILEY CAITLIN (OTR/L)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:CAITLIN
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2766 2ND ST NE APT 301
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1477
Mailing Address - Country:US
Mailing Address - Phone:704-213-1116
Mailing Address - Fax:
Practice Address - Street 1:1040 SOUTHGATE CORPORATE PARK SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1518
Practice Address - Country:US
Practice Address - Phone:828-358-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17386225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics