Individual
MS. HALEY MARIE CANUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
909 CAMEL XING, ALEXANDRIA, KY 41001-7507
(859) 635-4161
Mailing address
800 WIGEON DR, ALEXANDRIA, KY 41001-7437
(859) 905-9108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1911
KY
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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