Healthcare Provider Details

I. General information

NPI: 1841007309
Provider Name (Legal Business Name): MADISON AVERY ZIEGLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 SW FLEMING CT
TOPEKA KS
66604-1851
US

IV. Provider business mailing address

1334 SW OVERLOOK DR APT 11
TOPEKA KS
66615-1486
US

V. Phone/Fax

Practice location:
  • Phone: 785-440-0500
  • Fax:
Mailing address:
  • Phone: 620-366-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number11-07118
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: