Provider Demographics
NPI:1548709785
Name:HAYS, DENISE ANN (MT-BC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ANN
Last Name:HAYS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17343 171ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55975
Mailing Address - Country:US
Mailing Address - Phone:507-251-5458
Mailing Address - Fax:
Practice Address - Street 1:17343 171ST AVE
Practice Address - Street 2:S
Practice Address - City:SPRING VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55975
Practice Address - Country:US
Practice Address - Phone:507-251-5458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
04950225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist