Individual
MR. WILLIAM HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT/NMT
Contact information
Practice address
130 IDAHO AVE, PUEBLO, CO 81004-1234
(719) 214-1181
Mailing address
130 IDAHO AVE, PUEBLO, CO 81004-1234
(719) 214-1181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4923
CO
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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