Individual
MADDOX LANDON REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, GT
Contact information
Practice address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(313) 586-2490
Mailing address
25739 BEECH CT, REDFORD, MI 48239-1703
(313) 586-2490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004008
IL
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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