Individual
MADISON THERESA KUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, SCAT, NREMT
Contact information
Practice address
701 E 17TH ST, BLOOMINGTON, IN 47408-1578
(317) 771-2661
Mailing address
8960 WOODLARK DR, FISHERS, IN 46038-4543
(317) 771-2661
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
IN
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
06/11/2024
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