NPI 1174042162
Hayley Ann Widman, MSKLATATC
Practice location
- Address
- 410 Baytree Rd APT 30f, Valdosta, GA 31602-3235
- Phone
- (419) 677-3848
- Mailing address
- 1 S Hamilton St APT 3, Monroeville, OH 44847-9409
Registered specialties (2)
Athletic Trainer
Primary
Athletic Trainer
Registry record
- NPI
- 1174042162
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Sep 2017
- Record last updated
- 12 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.