SearchArizona225X00000X

Madison Flake, OTR/L

NPI 1326604083 · on the registry since 2019

Practice

Address
22518 E Camina Buena Vis
Queen Creek, AZ 85142
Phone
(801) 822-4621

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XE1200X
225XE0001X
225XP0019X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona