Individual
MADELINE RENE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
234 WEST ST S UNIT 4, GRINNELL, IA 50112-8160
(641) 236-4506
Mailing address
234 WEST ST S UNIT 4, GRINNELL, IA 50112-8160
(641) 236-4506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
125889
IA
2255A2300X
Athletic Trainer
108924
IA
Other
Enumeration date
05/27/2021
Last updated
08/02/2024
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