Individual
CASEY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1524 S ACOMA ST, DENVER, CO 80223-3601
(708) 417-0696
Mailing address
1524 S ACOMA ST, DENVER, CO 80223-3601
(708) 417-0696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001345
CO
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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