Individual
HALEY J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N91W15750 FALLS PKWY, MENOMONEE FALLS, WI 53051-2301
(262) 719-9159
Mailing address
W283N3312 LAKESIDE RD, PEWAUKEE, WI 53072-3332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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