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NPI Code Detail

MEDICARE: THOMAS E MADDEN

MEDICARE: THOMAS E MADDEN
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
1225100000XPhysical Therapist10929NC

General Provider Information

NPI Number : 1841419397
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS E MADDEN
Provider Business Mailing Address
First Line : 13053 W PEACHLEAF CT
Second Line :
City : BOISE
State : ID
Zip : 83713-1959
Country : US
Telephone Number : 208-695-5621
Fax Number :
Provider Business Practice Location Address
First Line : 27240 HAGGERTY RD
Second Line : E-15
City : FARMINGTON HILLS
State : MI
Zip : 48331-5716
Country : US
Telephone Number : 866-991-0900
Fax Number : 866-992-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ THOMAS E MADDEN ” Practice Location

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