Individual
EMILY SUE HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9701 NICOLLET AVE S, BLOOMINGTON, MN 55420-4448
(952) 681-5207
Mailing address
300 W 96TH ST, APT 1 F, BLOOMINGTON, MN 55420-4375
(952) 836-7808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1879
MN
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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