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Hailey Anne Wiest

Specialist/Technologist, Athletic Trainer in Renton, WA. Individual provider (NPI-1).

NPI number1851746911
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1851746911
Entity type
Individual (NPI-1)
Name
Hailey Anne Wiest
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2016
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

15233 Se 175th Pl
Renton, WA 98058-9088

Phone 425-679-2238

Mailing address

15233 Se 175th Pl
Renton, WA 98058

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