Madison Dance, PTA

NPI #1770462137 in Kokomo, Indiana

Provider Information

NPI Number: 1770462137
Entity Type: Individual
Name: Madison Dance, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 29, 2025
Last Updated: Aug 29, 2025

Practice Location

Address: 1907 W SYCAMORE ST
City: Kokomo
State: Indiana
ZIP Code: 46901-5148
Phone: (765) 452-5611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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