Individual
MADISON SWANHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(607) 793-6025
Mailing address
25 E ENFIELD CENTER RD, ITHACA, NY 14850-9351
(607) 793-6025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
07/01/2023
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