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NPI Code Detail

MEDICARE: HEIDI MADSON PT

MEDICARE: HEIDI MADSON PT
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
1208100000XPhysical Medicine & Rehabilitation Physician5871MN

General Provider Information

NPI Number : 1891278446
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI MADSON PT
Provider Business Mailing Address
First Line : 4418 MANOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-7413
Country : US
Telephone Number : 507-250-7880
Fax Number :
Provider Business Practice Location Address
First Line : 24 8TH ST NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-6817
Country : US
Telephone Number : 507-289-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 09/10/2018

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Directions to “ HEIDI MADSON PT” Practice Location

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