NPI 1790393015

Madeline von Holle

Practitioner Athletic Trainer Wasilla, AK

Practice location

Address: 984 N Meridian Pl, Wasilla, AK 99654-7215
Phone: (907) 631-4029
Mailing address: PO Box 3870, Palmer, AK 99645-3870

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 163970 (AK)

Other Specialist/Technologist providers in Alaska →

Registry record

NPI: 1790393015
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2020
Record last updated: 26 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.