Individual
MADDISON RAYE ALTENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25321 STATE HIGHWAY 51, MARBLE HILL, MO 63764-5506
(573) 208-9089
Mailing address
25321 STATE HIGHWAY 51, MARBLE HILL, MO 63764-5506
(573) 208-9089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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