Individual
HAILEY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9037 INDEPENDENCE AVE STE A2, DAPHNE, AL 36526-7694
(251) 459-0500
Mailing address
9037 INDEPENDENCE AVE STE A2, DAPHNE, AL 36526-7694
(251) 459-0500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MT5583
AL
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT5583
LICENSE MASSAGE THERAPY
AL
Enumeration date
04/28/2021
Last updated
04/28/2021
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