Individual
MADELINE DIANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 TWYCKENHAM DR, INDIANAPOLIS, IN 46236-8274
(317) 517-8076
Mailing address
6255 TWYCKENHAM DR, INDIANAPOLIS, IN 46236-8274
(317) 517-8076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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