Provider Demographics
NPI:1043911415
Name:HALE, PAULA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MARIE
Last Name:HALE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:MARIE
Other - Last Name:VILLAOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4111 S SILVERADO ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-0115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4049 E WILLIAMS FIELD RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-3217
Practice Address - Country:US
Practice Address - Phone:480-597-9497
Practice Address - Fax:480-597-9484
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor