KELLY HALEY

NORMAL, IL
NPI1912263815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002482)
Enumeration Date2012-04-04
Last Update Date2012-04-04
Business Address
-- KELLY HALEY ATC
7130 HORTON FIELDHOUSE
NORMAL, IL 61790
Phone number: 309-438-7246
Mailing Address
-- KELLY HALEY ATC
1534 HUNT DR APT A
NORMAL, IL 61761-6117
Phone number: 407-506-8376