Individual
MADELINE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 507-7665
Mailing address
1198 ISLE VIEW DR, MEMPHIS, TN 38103-8985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15954
TN
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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