Individual
MADISON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 BERTLING ST APT 1332, CAPE GIRARDEAU, MO 63701-3086
(618) 314-3421
Mailing address
1112 BERTLING ST APT 1332, CAPE GIRARDEAU, MO 63701-3086
(618) 314-3421
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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