Provider Demographics
NPI:1861239873
Name:MUTER, HALEY J (BS)
Entity type:Individual
Prefix:MS
First Name:HALEY
Middle Name:J
Last Name:MUTER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 WAPAKONETA AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-1461
Mailing Address - Country:US
Mailing Address - Phone:937-638-4726
Mailing Address - Fax:
Practice Address - Street 1:1130 WAPAKONETA AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-1461
Practice Address - Country:US
Practice Address - Phone:937-658-4726
Practice Address - Fax:937-916-3037
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program