Individual
HALEY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2600 W MAIN ST, BELLEVILLE, IL 62226-6651
(618) 239-6000
Mailing address
806 SIMPSON ST, POCAHONTAS, IL 62275-2203
(815) 370-7045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004044
IL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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