Provider Demographics
NPI:1881806776
Name:HAYES, KAREN HELEN (AT,C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:HELEN
Last Name:HAYES
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1285 HEMBREE RD
Mailing Address - Street 2:SUITE 200-D
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5720
Mailing Address - Country:US
Mailing Address - Phone:770-772-5540
Mailing Address - Fax:770-772-5541
Practice Address - Street 1:1285 HEMBREE RD
Practice Address - Street 2:SUITE 200-D
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5720
Practice Address - Country:US
Practice Address - Phone:770-772-5540
Practice Address - Fax:770-772-5541
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0012632255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer