Individual
KIRK JACQUINE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC MPT CERT MDT
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-5345
Mailing address
2615 OAK ST, GRAND FORKS, ND 58201-7012
(701) 780-6000
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1139
ND
225100000X
Physical Therapist
6391
MN
Other
Enumeration date
12/20/2006
Last updated
06/03/2013
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