Individual
MELISSA MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1595 S CALUMET RD, CHESTERTON, IN 46304-2388
(219) 764-4888
(219) 898-4258
Mailing address
12832 MARSHALL ST, CROWN POINT, IN 46307-9771
(219) 384-3805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196020A
—
IN
Enumeration date
03/05/2020
Last updated
03/05/2020
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