Provider Demographics
NPI:1043780059
Name:SAYLOR, MADISON LEE (DC)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:LEE
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20236 W 638 HWY
Mailing Address - Street 2:
Mailing Address - City:ONAWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49765
Mailing Address - Country:US
Mailing Address - Phone:989-306-4441
Mailing Address - Fax:
Practice Address - Street 1:1447 S OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-7739
Practice Address - Country:US
Practice Address - Phone:989-732-7000
Practice Address - Fax:989-488-1436
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor