Individual
MADELYN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
615 LABAREE ST, WATERTOWN, WI 53098-3019
(920) 988-1399
Mailing address
615 LABAREE ST, WATERTOWN, WI 53098-3019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000031908
WI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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