Provider Demographics
NPI:1730589441
Name:HADDAD, HANNAH MICHELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MICHELLE
Last Name:HADDAD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MICHELLE
Other - Last Name:BLEICHFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 932184
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-2184
Mailing Address - Country:US
Mailing Address - Phone:866-699-9395
Mailing Address - Fax:
Practice Address - Street 1:1120 COTTONWOOD CREEK TRL STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7859
Practice Address - Country:US
Practice Address - Phone:737-843-7014
Practice Address - Fax:737-843-7016
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist