Individual
MRS. AMY E HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATCL
Contact information
Practice address
ONE UNIVERSITY AVE, FULTON, MO 65251-2388
(573) 592-4388
(573) 592-4386
Mailing address
ONE UNIVERSITY AVE, FULTON, MO 65251-2388
(573) 592-4388
(573) 592-4386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2002005841
MO
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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