Individual
KORDAE JEWELL ANN HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 9TH AVENUE SE, STE 2, WATFORD CITY, ND 58854
(701) 842-4424
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ND
2255A2300X
Athletic Trainer
—
ND
Other
Enumeration date
10/09/2018
Last updated
03/03/2023
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