Individual provider · Type 1 NPI
Madison Haley
Student in an Organized Health Care Education/Training Program · Chestnut, IL
NPI number
1619322401
Active
Practice location
925 2000th Ave
Chestnut, IL 62518-6028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1619322401
Madison Haley's National Provider Identifier is 1619322401, issued on Apr 28, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chestnut, IL. The record was last updated on Apr 28, 2016.