Individual
HALEY MERICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N 1ST ST, PT 800, SPRINGFIELD, IL 62702-3719
(217) 528-7541
Mailing address
800 N 1ST ST, PT 800, SPRINGFIELD, IL 62702-3719
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004013
IL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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