| NPI | 1821590704 |
|---|---|
| Other Name | LIFETIME BODY AND HEALTH AWARENESS HAYNES PHYSICAL THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | SHENITA HAYNES Owner 702-831-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2020-08-19 |