Provider Demographics
NPI:1992100861
Name:KAVA, HAYLEY (MPT)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:KAVA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:579 HERONS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327-3500
Mailing Address - Country:US
Mailing Address - Phone:910-583-3173
Mailing Address - Fax:612-474-1041
Practice Address - Street 1:155 ALLISON PAGE RD STE B
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-8956
Practice Address - Country:US
Practice Address - Phone:910-583-3173
Practice Address - Fax:612-474-1041
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist