Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hailey Mackenzie McCullum, PTA

Individual provider Physical Therapy Assistant · NPI 1962224766

Hailey Mackenzie McCullum, PTA is a Physical Therapy Assistant in Apple Valley, California. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone: (760) 646-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 49821 (CA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 014806 (AZ)

Record details

NPI number1962224766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 31, 2024
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address12901 Galewood St, Apple Valley, CA 92308-6793

Other providers in Apple Valley