Individual
MADISON KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5551 STATE ROUTE 82, NEWTON FALLS, OH 44444-9557
(330) 647-9160
Mailing address
5551 STATE ROUTE 82, NEWTON FALLS, OH 44444-9557
(330) 647-9160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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