Most Relevant Information
Provider Data
| NPI Number: | 1003053331 |
| Provider Name: | HALEY KATHLEEN BALTZ MS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT1239 |
Most Important Dates
| Enumeration Date: | 01/08/2009 |
| Last Updated: | 01/08/2009 |
Provider Practice Location
50 W 3RD ST
SHERIDAN
WY
828013606
Practice Location Phone/Fax
| Phone: | 3076722092 |
| Fax: | 3076731969 |
Provider Mailing Location
50 W 3RD ST
SHERIDAN
WY
828013606
Provider Mailing Phone/Fax
| Phone: | 3076722092 |
| Fax: | 3076731969 |