Madeline Ranum, CEP, CCRP

Individual provider Active NPI Clinical Exercise Physiologist · Jamestown, ND

NPI 1154101335 · NPPES record last updated Oct 4, 2023

Key facts

NPI
1154101335
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Exercise Physiologist 224Y00000X
Practice address
2422 20TH St SW
Jamestown, ND 58401-6201
Phone
(701) 952-4800
NPI assigned
Oct 4, 2023
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)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X Yes

Addresses

Primary practice location

2422 20TH St SW
Jamestown, ND 58401-6201

Mailing address

249 17TH Ave NE
Jamestown, ND 58401-3841

Other providers in Jamestown, ND

All providers in Jamestown, ND · Clinical Exercise Physiologist in North Dakota

Sources for this page

Verify at the official NPI Registry.