Individual
MADELEINE HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
5805 ARBOR PAVILLION LN, AUSTIN, TX 78744-4433
(312) 259-1714
Mailing address
5805 ARBOR PAVILLION LN, AUSTIN, TX 78744-4433
(312) 259-1714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7411
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2017
Last updated
10/14/2020
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