LEIF MADSEN

BLOOMINGTON, IN
NPI1598248791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36002883A)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
DR. LEIF MADSEN PHD, ATC
3044 E MATTATHA DR
BLOOMINGTON, IN 47401-4740
Phone number: 608-215-3688
Mailing Address
DR. LEIF MADSEN PHD, ATC
3044 E MATTATHA DR
BLOOMINGTON, IN 47401-9413
Phone number: 608-215-3688