Individual ProviderHailey SheaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2552 Torrey Pines Rd, La Jolla, CA 92037-3432(858) 453-5810(636) 578-4305PECOS EnrollmentBased on the most recent information from CMS, provider Hailey Shea does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376301069Provider TypeIndividualFull NameShea, HaileyGenderFemaleSole ProprietorYesEnumeration Date3/7/2024Last Updated3/7/2024Contact InformationPractice LocationPractice Address2552 Torrey Pines Rd, La Jolla, CA 92037-3432Phone(858) 453-5810FaxUnlisted FaxMailing LocationMailing Address6980 Long Lake Ct, Lemon Grove, CA 91945-3461Phone(636) 578-4305FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense294894California