Individual
MADELYN BROOKE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MILL POND DR, YOUNGSVILLE, LA 70592-5655
(270) 535-7536
Mailing address
301 MILL POND DR, YOUNGSVILLE, LA 70592-5655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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