Individual
HALEY M LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MS
Contact information
Practice address
655 W DIVISION ST, COAL CITY, IL 60416-1499
(815) 634-2396
Mailing address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004898
IL
Other
Enumeration date
04/13/2018
Last updated
06/22/2023
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