Provider Demographics
NPI:1871982181
Name:CALHOUN, MADISON (DPT)
Entity type:Individual
Prefix:MISS
First Name:MADISON
Middle Name:
Last Name:CALHOUN
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 1:2979 SAGINAW DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2111
Mailing Address - Country:US
Mailing Address - Phone:724-601-7642
Mailing Address - Fax:
Practice Address - Street 1:2979 SAGINAW DR
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-2111
Practice Address - Country:US
Practice Address - Phone:724-601-7642
Practice Address - Fax:724-375-9224
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-10
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018786225100000X
PAPT024128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist