Individual
MS. KELLEY LEE HALLIBURTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C., P.T.A.
Contact information
Practice address
9 RIDGE DR, LITCHFIELD, IL 62056-2489
(217) 324-4237
Mailing address
9 RIDGE DR, LITCHFIELD, IL 62056-2489
(217) 324-4237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
2255A2300X
Athletic Trainer
—
IL
Other
Enumeration date
04/05/2006
Last updated
09/11/2025
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