Individual
KRISTI JAN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N ARTHUR ST, HUMANSVILLE, MO 65674-8655
(417) 754-2208
(417) 754-1222
Mailing address
21094 LAWRENCE 2072, ASH GROVE, MO 65604-8298
(417) 773-6388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2001001805
MO
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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