Individual
MADISON SUSMILCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 W 16TH ST, GREELEY, CO 80634-4955
(970) 356-9800
Mailing address
PO BOX 13525, MAUMELLE, AR 72113-0525
(901) 833-4404
(866) 251-1267
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
11/22/2021
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