| Doctor Name: | DR. JOHN S HALLE |
| NPI Number: | 1083761548 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT, PHD |
| License Number: | PT0000005605 |
| Business Practice Address: | 650 Joel Dr. Blanchfield Army Community Hospital Ft. Campbell, KY - 422235349 |
| Business Phone Number: | 2707988727 |
| Business Fax Number: | 2709560180 |
| Mailing Address: | 650 Joel Dr., Blanchfield Army Community Hospital FT. CAMPBELL |
| State: | KY |
| Postal Code: | 422235349 |
| Phone Number: | 2707988727 |
| Fax Number: | 2709560180 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1300X |
| License Number: | PT0000005605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Electrophysiology, Clinical |
| Taxonomy Definition: | |