Organization
MADISON SWIM ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JACKSON (MANAGING DIRECTOR)
(608) 630-9800
Entity
Organization
Contact information
Practice address
605 CHASE BLVD, SUN PRAIRIE, WI 53590-2382
(608) 630-9800
Mailing address
5200 ANTON DR, FITCHBURG, WI 53719-1704
(608) 630-9800
(608) 441-5492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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