MADISON BOUTWELL

MILL CREEK, IN
NPI1104573575
Former NameMADISON BARBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36003731A)
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2022-03-07
Last Update Date2023-05-30
Business Address
MRS. MADISON BOUTWELL MSAT, ATC, LAT
397 N 600 E
MILL CREEK, IN 46365-9607
Phone number: 219-851-6845
Mailing Address
MRS. MADISON BOUTWELL MSAT, ATC, LAT
397 N 600 E
MILL CREEK, IN 46365-9607
Phone number: 219-851-6845