Individual
MADISON DUROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
2425 HIGHWAY 121, BEDFORD, TX 76021-5013
(817) 540-4477
Mailing address
2500 STATE HIGHWAY 121 APT 1633, EULESS, TX 76039-6041
(774) 722-4967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
05/10/2024
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