Individual
MADISON BEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1146 FAMBROUGH WAY, LAWRENCE, KS 66044-3087
(903) 217-7927
Mailing address
4541 BAUER FARM DR APT D3, LAWRENCE, KS 66049-9107
(903) 217-7927
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
11-06799
KS
2255A2300X
Athletic Trainer
Primary
24-01550
KS
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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