Individual
REBECCA LYNN MADVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5655
Mailing address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
625-039
WI
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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