Provider Demographics
NPI:1447927942
Name:THORPE, HALEY MICHAEL (ATC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MICHAEL
Last Name:THORPE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6126 73RD PL E
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35453-1409
Mailing Address - Country:US
Mailing Address - Phone:205-657-7142
Mailing Address - Fax:
Practice Address - Street 1:6126 73RD PL E
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35453-1409
Practice Address - Country:US
Practice Address - Phone:205-657-7142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer