Individual
MR. EDWARD THOMAS HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1622 NAVAJO POINT PL, HENDERSON, NV 89074-2931
(760) 453-4305
Mailing address
4980 W SAHARA AVE STE 260, LAS VEGAS, NV 89146-3435
(760) 453-4305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
07/29/2022
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