Provider Demographics
NPI:1043025661
Name:HANCOCK, MADELYNN ESTHER (DPT)
Entity type:Individual
Prefix:DR
First Name:MADELYNN
Middle Name:ESTHER
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 VILLAGE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6626
Mailing Address - Country:US
Mailing Address - Phone:513-557-6738
Mailing Address - Fax:
Practice Address - Street 1:4079 TONGASS AVE STE 102
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5559
Practice Address - Country:US
Practice Address - Phone:907-225-7808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist