Individual
MADISON LANE BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3105 BLUFF CREEK DR, COLUMBIA, MO 65201-3529
(573) 442-6060
Mailing address
4716 W KNOX DR, COLUMBIA, MO 65203-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025036977
MO
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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