Organization
HAYNES SPORTS THERAPY AND REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J HAYNES (OWNER)
(870) 777-6798
Entity
Organization
Contact information
Practice address
206 N HERVEY ST, HOPE, AR 71801-3613
(870) 777-6798
(870) 777-6880
Mailing address
PO BOX 68, HOPE, AR 71802-0068
(870) 777-6798
(870) 777-6880
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B934
BC BS PROVIDER CLINIC NUM
AR
Enumeration date
10/07/2005
Last updated
11/21/2007
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