Individual
CARRIE LYNN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9600 LAMBORNE BLVD, LOUISVILLE, KY 40272-2505
(502) 935-7284
Mailing address
1216 E MARKET ST, NEW ALBANY, IN 47150-2838
(606) 875-8410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04181
KY
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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