Individual
MELISSA HAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
270 N RAZORBACK RD, FAYETTEVILLE, AR 72701
(501) 366-4060
Mailing address
800 S TUCKER DR, TULSA, OK 74104-9700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
05/24/2023
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