DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GLENN HAYNES, ATC

Active Sole Proprietor

MARK GLENN HAYNES, ATC is a Athletic Trainer healthcare provider located in MOUNTAIN HOME, Arkansas. NPI 1235293556 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MOUNTAIN HOME, AR

Registration Details

NPI Number
1235293556
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2006 (19.607462047198 yrs)
Last Updated
Jul 8, 2007
License
128 (AR)
Sole Proprietor
Yes

Practice Information

Address
302 LEATHERWOOD DR
MOUNTAIN HOME, AR, 726533702
Browse AR providers · Browse ZIP 72653
Phone
8704243554
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MOUNTAIN HOME, AR

Name Credential NPI
SYDNEY THOMAS 1770936122
LANE RAY ALEXANDER MS, ATC 1598247272
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.