Individual
THADDEUS HAYES-JOSHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
14100 6 MILE CYPRESS PKWY, FORT MYERS, FL 33912-4314
(719) 357-2570
Mailing address
14110 SIX MILE CYPRESS PKWY, FORT MYERS, FL 33912-4314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6494
FL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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