Karlene Marie Madill

Individual provider Active NPI Physical Therapist · Sandstone, MN

NPI 1609936723 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609936723
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6761 (MN)
Practice address
109 Court Ave S
Sandstone, MN 55072-5120
Phone
(320) 245-2211
NPI assigned
Dec 11, 2006
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

State licenses

LicenseStateTypeSpecialty
6761MNMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6761 MN Yes

Addresses

Primary practice location

109 Court Ave S
Sandstone, MN 55072-5120

Mailing address

109 Court Ave S
Sandstone, MN 55072-5120
Phone (320) 245-2211

Other providers in Sandstone, MN

All providers in Sandstone, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.