Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADALYN IDE, ATC
Active Sole ProprietorMADALYN IDE, ATC is a Athletic Trainer healthcare provider located in DAYVILLE, Connecticut. NPI 1104348309 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DAYVILLE, CT
Registration Details
- NPI Number
- 1104348309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2017 (9.0538146760253 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
811 HARTFORD PIKEDAYVILLE, CT, 062411716Browse CT providers · Browse ZIP 06241
- Phone
- 2075209132
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DAYVILLE, CT
| Name | Credential | NPI |
|---|---|---|
| AMI ADAMS | MS, LAT, CES | 1770971558 |
| MS. SASHA J BONILLA | ATC | 1457892176 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.