Individual
HAYLEY LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-3723
(229) 257-2778
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-4507
(505) 225-9690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004575
GA
2255A2300X
Athletic Trainer
AT8783
TX
Other
Enumeration date
09/24/2020
Last updated
01/16/2025
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