Individual
HALEY RUTH TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2108 N 155TH ST, BASEHOR, KS 66007-9395
(303) 956-7522
Mailing address
1901 W 3RD ST, LAWRENCE, KS 66044-4619
(303) 956-7522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01040
KS
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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