Individual
MADISON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4645 VILLAGE SQUARE DR STE A, PADUCAH, KY 42001-7448
(270) 443-5712
Mailing address
207 SUSAN LN, PADUCAH, KY 42003-5511
(270) 217-4593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008302
KY
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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