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Macie Hair, PTA

Physical Therapy Assistant in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1154867331
StatusActive
Last updated in NPPESJan 12, 2017

Details

NPI
1154867331
Entity type
Individual (NPI-1)
Name
Macie Hair
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2017
Last updated
Jan 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant0014031COYes

Practice location

417 E Kiowa St Unit 307
Colorado Springs, CO 80903-3494

Phone 512-876-9692

Mailing address

417 E Kiowa St Unit 307
Colorado Springs, CO 80903-3494

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