Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooksy Lee Halterman, ATHLETICTRAINER

Individual provider Athletic Trainer · NPI 1548502800

Brooksy Lee Halterman, ATHLETICTRAINER is an Athletic Trainer in Macon, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

1706 Prospect Dr
Macon, MO 63552-2615
Phone: (660) 385-1006
Fax: (660) 385-1028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2011028292 (MO)

Record details

NPI number1548502800
Entity typeIndividual (Type 1)
GenderMale
Credentials ATHLETICTRAINER
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013

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