Individual
MADISON KATELYN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 ROSE MALLOW DR APT 302, MANASSAS, VA 20109-4023
(484) 554-2973
Mailing address
8601 ROSE MALLOW DR APT 302, MANASSAS, VA 20109-4023
(484) 554-2973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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