Provider Demographics
NPI:1841007309
Name:ZIEGLER, MADISON AVERY (DPT)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:AVERY
Last Name:ZIEGLER
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 1:1334 SW OVERLOOK DR APT 11
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1486
Mailing Address - Country:US
Mailing Address - Phone:620-366-0844
Mailing Address - Fax:
Practice Address - Street 1:1031 SW FLEMING CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1851
Practice Address - Country:US
Practice Address - Phone:785-440-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-071182251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics