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Individual

KYLE HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
990 MEDICAL DR STE U4, BRIGHAM CITY, UT 84302-4714
(435) 723-6487
(435) 723-6490
Mailing address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13396878-2401
UT

Other

Enumeration date
07/13/2023
Last updated
07/13/2023
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