Individual
KRISTI L HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8836 MARS DR, HEWITT, TX 76643-3195
(254) 420-5500
Mailing address
3801 COBBS DR, WACO, TX 76708-3011
(512) 963-4172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130869
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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