Madison Powell

NPI #1912712761 in Live Oak, Texas

Provider Information

NPI Number: 1912712761
Entity Type: Individual
Name: Madison Powell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 10, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 6684 RANDOLPH BLVD
City: Live Oak
State: Texas
ZIP Code: 78233-4220
Phone: (210) 455-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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