Haley Nystrom

Athletic Trainer · Joliet, IL

Individual Active NPI

NPI number 1346769122

Practice location

951 Essington Rd
Joliet, IL 60435-8439
Phone
(708) 638-6504

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NPI record

NPI
1346769122
Entity type
Individual (Type 1)
Enumeration date
September 13, 2017
Last updated
September 28, 2022
Certified
September 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.004687 IL
Athletic Trainer 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

347 Hillside Rd
New Lenox, IL 60451-1619
Phone
(708) 638-6504

About Haley Nystrom

Haley Nystrom is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 951 Essington Rd, Joliet, IL 60435-8439. The NPI number 1346769122 was assigned on September 13, 2017 and the record was last updated on September 28, 2022.

Haley Nystrom lists a license in the registry: #096.004687 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Haley Nystrom?

The NPI number is 1346769122.

What is the phone number of Haley Nystrom?

The phone number listed for the practice location is (708) 638-6504.

Where is Haley Nystrom located?

951 Essington Rd, Joliet, IL 60435-8439.

What is the taxonomy code for Haley Nystrom?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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