Provider Demographics
NPI:1013793322
Name:HORVATH, MADELYN DAY (MS, LAT, ATC, CES)
Entity Type:Individual
Prefix:
First Name:MADELYN
Middle Name:DAY
Last Name:HORVATH
Suffix:
Gender:F
Credentials:MS, LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11920 CASSANDRA ST UNIT 206
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-1525
Mailing Address - Country:US
Mailing Address - Phone:218-391-5835
Mailing Address - Fax:
Practice Address - Street 1:9318 STATE ROAD 52 STE B
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-4020
Practice Address - Country:US
Practice Address - Phone:727-605-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL69392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer