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Individual

MICHELLE HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(314) 822-6297
(800) 591-3205
Mailing address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006021625
MO
225700000X
Massage Therapist
2007005872
MO

Other

Enumeration date
04/13/2011
Last updated
04/13/2011
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