Individual
SUSAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9913 214TH ST W STE B, LAKEVILLE, MN 55044-1914
(952) 985-2020
(952) 985-2025
Mailing address
9913 214TH ST W STE B, LAKEVILLE, MN 55044-1914
(925) 985-2020
(952) 985-2025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A568
MN
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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