Individual
CASEY CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, MAT, ATC
Contact information
Practice address
1475 ENGINEERING DR, MADISON, WI 53706-1607
(608) 440-0363
Mailing address
1540 MORRISON ST, MADISON, WI 53703-3816
(970) 518-9071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1912
WI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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