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NPI Code Detail

MEDICARE: ANN RENEE MADSEN

MEDICARE: ANN RENEE MADSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1000NE

General Provider Information

NPI Number : 1699054452
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN RENEE MADSEN
Provider Business Mailing Address
First Line : 4125 SERGEANT RD
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-4038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3501 DAKOTA AVE
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3641
Country : US
Telephone Number : 402-494-3440
Fax Number : 402-494-3441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2011
Last Update Date : 08/11/2011

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Directions to “ ANN RENEE MADSEN ” Practice Location

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