Individual
KATIE ALICE MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 PROFESSIONAL LN UNIT 145, LONGMONT, CO 80501-6968
(720) 494-3290
Mailing address
13178 WYANDOT STREET, WESTMINSTER, CO 80234
(801) 592-7572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-11344
CO
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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