Madelynn Alyea
Individual provider Active NPI Athletic Trainer · Raeford, NC
NPI 1104569664 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1104569664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 885 Montrose Rd
Raeford, NC 28376-7763 - Phone
- (828) 449-4418
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
885 Montrose Rd
Raeford, NC 28376-7763
Mailing address
885 Montrose Rd
Raeford, NC 28376-7763
Phone (828) 449-4418
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All providers in Raeford, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.