Individual
MADISON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 MILL CREEK XING, MADISON, AL 35758-7200
(256) 289-0035
Mailing address
116 MILL CREEK XING, MADISON, AL 35758-7200
(256) 289-0035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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