CHASE GASTON HAYNIE

CLARKSDALE, MS
NPI1972190346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PTA-6504)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
CHASE GASTON HAYNIE PTA
1120 RITCHIE AVE
CLARKSDALE, MS 38614-7535
Phone number: 662-621-1447
Mailing Address
CHASE GASTON HAYNIE PTA
71 RIDGECREST DR
POPE, MS 38658-3150
Phone number: