Individual
MR. KENT ALLEN MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6935 U.S. HWY 50, LAMAR, CO 81052
(719) 336-4364
(719) 336-4365
Mailing address
408 OAK RD, LAMAR, CO 81052-2941
(719) 336-4364
(719) 336-4365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2412
CO
Other
Enumeration date
03/02/2007
Last updated
05/21/2008
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