Individual
MICHAEL HLAVATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4529 E FRYE RD, PHOENIX, AZ 85048-7601
(620) 617-7371
Mailing address
4529 E FRYE RD, PHOENIX, AZ 85048-7601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/08/2018
Last updated
03/31/2021
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