Individual
MR. SHUNNOSUKE HAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
567 N 5TH STREET, SCWAM 257, TERRE HAUTE, IN 47809
(812) 237-2088
Mailing address
567 N 5TH STREET, SCWAM 257, TERRE HAUTE, IN 47809
(812) 237-2088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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