Shay Bales

NPI 1003529942 · on the registry since 2023 · sole proprietor

Practice

Address: 333 S Jones St Lot 4
Powell, WY 82435
Phone: (307) 219-8509
Organisation at this address: Heart Mountain Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 251J00000X
251J00000X
Also registered as: 171000000X
261QA0600X
261QD1600X
261QM0850X
261QM0855X
3104A0625X
372600000X
385HR2055X
385HR2060X
385HR2065X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming