Individual
KYLI LEAH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
800 N COLUMBIA AVE, SEWARD, NE 68434-1500
(402) 643-7386
Mailing address
3137 FLETCHER AVE APT 275, LINCOLN, NE 68504-1045
(308) 293-0640
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
863
NE
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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