Individual
MATTHEW HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2533 AVENUE H, COUNCIL BLUFFS, IA 51501-0829
(402) 651-7414
Mailing address
2533 AVENUE H, COUNCIL BLUFFS, IA 51501-0829
(402) 651-7414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
075360
IA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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