Individual provider · NPI-1

Alexis Madison Duke

Kinesiotherapist · Lake City, FL

NPI number1740060144
StatusActive
Last updated in NPPESOct 18, 2023

Details

NPI
1740060144
Entity type
Individual (NPI-1)
Name
Alexis Madison Duke
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2023
Certification date
Oct 18, 2023
Last updated
Oct 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist2162ALYes

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Phone 251-455-3323

Mailing address

14955 Morgan Ln N
Wilmer, AL 36587-5015

Phone 251-455-3323

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Kinesiotherapist providers in Lake City, FL