Individual
MADISON MARIE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
Mailing address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3201-19
WI
Other
Enumeration date
08/25/2021
Last updated
08/30/2023
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