Provider Demographics
NPI:1659162261
Name:HATTER, HAILLE HOPE (DPT)
Entity type:Individual
Prefix:
First Name:HAILLE
Middle Name:HOPE
Last Name:HATTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 ELDEN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4845
Mailing Address - Country:US
Mailing Address - Phone:703-689-3737
Mailing Address - Fax:
Practice Address - Street 1:150 ELDEN ST STE 210
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4845
Practice Address - Country:US
Practice Address - Phone:703-689-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305217148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist