Individual
MR. DANIEL K HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3049 WILLIAM STREET, SUITE 152, CAPE GIRARDEAU, MO 63701
(573) 332-1587
Mailing address
3049 WILLIAM STREET, SUITE 152, CAPE GIRARDEAU, MO 63701
(573) 332-1587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2008000983
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROVIDER CODE 22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
MO
Enumeration date
05/20/2009
Last updated
05/20/2009
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