| NPI | 1699285593 |
|---|---|
| Former Name | MADISON EVE TRUSCINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 13434) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT61172214) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2024-05-13 |