| NPI | 1306406004 |
|---|---|
| Former Name | CAITLYN HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IL 096004040) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: 2000020646) |
| 246ZX2200X Specialist/Technologist, Other Orthopedic Assistant | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-08-18 |