Individual
HAILEY MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9668
Mailing address
4242 S CONSTITUTION AVE, BOISE, ID 83716-5272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-525
ID
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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