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Jade Ashley Hailey, PT, DPT

Physical Therapist in Rockford, IL. Individual provider (NPI-1).

NPI number1669997003
StatusActive
Last updated in NPPESApr 1, 2025

Details

NPI
1669997003
Entity type
Individual (NPI-1)
Name
Jade Ashley Hailey
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2017
Certification date
Apr 1, 2025
Last updated
Apr 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070022809ILYes

Practice location

7166 Sentinel Rd
Rockford, IL 61107-2708

Phone 815-761-7323

Mailing address

7166 Sentinel Rd
Rockford, IL 61107-2708

Other practice locations

2400 N Rockton Ave
Rockford, IL 61103-3655

Phone 815-971-5022

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