Individual
MS. PARIS MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(616) 893-0939
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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