Individual
MISS SUSAN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1009 UNION ST, VALPARAISO, IN 46383-4529
(219) 464-5236
(219) 464-6879
Mailing address
2700 DOUBLE EAGLE LN, APT A, VALPARAISO, IN 46383-2865
(219) 464-5236
(219) 464-6879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000083A
IN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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