Individual
TRACY HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1099 W WOOD ST, DECATUR, IL 62522-2944
(217) 420-6677
Mailing address
2015 W ELDORADO ST, DECATUR, IL 62522-1801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
REINSTATING096003529
IL
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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