Individual
BAILEE HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 737-4110
Mailing address
3946 LAWRENCE 2160, WENTWORTH, MO 64873-9123
(417) 737-4110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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