Individual
KATLYN JANELLE HAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 262-2286
Mailing address
4324 WOODROW AVE, BURTON, MI 48509-1126
(810) 931-4954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006007
MI
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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