BRYCE HAISTEN

WACO, TX
NPI1164184438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2157711)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
BRYCE HAISTEN PTA
2121 W HWY 6
WACO, TX 76710-4021
Phone number: 254-845-7935
Mailing Address
BRYCE HAISTEN PTA
330 SHARRON DR
WOODWAY, TX 76712-3351
Phone number: