Individual
KALYN M HASENOEHRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1132 MILL CREEK BLVD APT E308, MILL CREEK, WA 98012-3092
(208) 791-6312
Mailing address
1132 MILL CREEK BLVD APT E308, MILL CREEK, WA 98012-3092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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