MR. Larry Gene Halye JR., LAT, ATC
NPI #1801315759 in Hazle Township, Pennsylvania
Provider Information
- NPI Number
- 1801315759
- Entity Type
- Individual
- Name
- MR. Larry Gene Halye JR., LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Aug 3, 2020
Practice Location
- Address
- 1515 W 23RD ST
- City
- Hazle Township
- State
- Pennsylvania
- ZIP Code
- 18202-1647
- Phone
- (570) 459-3221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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