Provider Demographics
NPI:1760285621
Name:DODD, HALEY BLAIR
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:BLAIR
Last Name:DODD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 LENOX AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2667
Mailing Address - Country:US
Mailing Address - Phone:434-951-6355
Mailing Address - Fax:
Practice Address - Street 1:3918 LENOX AVE STE 430
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2667
Practice Address - Country:US
Practice Address - Phone:434-951-6355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant