Individual
EMILY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W MAIN ST, INDEPENDENCE, KS 67301-3511
(620) 331-0999
(620) 331-1605
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04608
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-04608
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
09/22/2014
Last updated
09/30/2015
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