Individual
MADISON PAIGE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
404 N MAIN ST, ENTERPRISE, AL 36330-2563
(334) 393-7465
Mailing address
404 N MAIN ST, ENTERPRISE, AL 36330-2563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3064
AL
2255A2300X
Athletic Trainer
A161268622
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
ID
Other
Enumeration date
03/20/2020
Last updated
07/28/2026
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