Individual
MADELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 ANSBOROUGH AVE, WATERLOO, IA 50701-5842
(319) 433-0130
Mailing address
282 KENILWORTH RD, WATERLOO, IA 50701-4259
(815) 481-2636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
03/27/2023
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