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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON MITCHELL, PTA

Active

MADISON MITCHELL, PTA is a Physical Medicine & Rehabilitation healthcare provider located in BLOOMINGTON, Illinois. NPI 1922813609 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · BLOOMINGTON, IL

Registration Details

NPI Number
1922813609
Provider Type
Individual
Gender
Female
NPI Issued
Feb 10, 2025 (1.5528762992165 yrs)
Last Updated
Feb 10, 2025
License
160.010352 (IL)

Practice Information

Address
2103 N VETERANS PKWY
BLOOMINGTON, IL, 617040908
Browse IL providers · Browse ZIP 61704
Phone
3099486469
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in BLOOMINGTON, IL

Name Credential NPI
DR. NENITA C TUDTUD M.D. 1639105034
WON JHEE 1861411027
DR. CRAIG W CARMICHAEL M.D. 1497761100
MR. EDWARD LEE PONCE PT 1528176138
MRS. SARA ALINE FRANCOIS PT 1174015010
JENNIFER MARIE HAIR PTA 1881277358
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.