Provider Demographics
NPI:1902417256
Name:BUTTONOW, MADISON CHRISTINE
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:CHRISTINE
Last Name:BUTTONOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6011 CARLSON RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9381
Mailing Address - Country:US
Mailing Address - Phone:336-937-1606
Mailing Address - Fax:
Practice Address - Street 1:6011 CARLSON RIDGE CT
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9381
Practice Address - Country:US
Practice Address - Phone:336-937-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer