National Provider Identifier
Madison Edith Lodge, PT, DPT, CLT
Madison Edith Lodge, PT, DPT, CLT is listed in the NPPES registry with a primary specialty of Physical Therapist in Bath, NY and a listed phone number of (607) 776-8880.
Profile Overview
- NPI
- 1821872318
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 24, 2023
- Last Updated
- August 24, 2023
Practice Location
- 7571 State Route 54
- Bath, NY 14810-9504
Phone: (607) 776-8880
Mailing Address
- 5857 County Road 14
- Alpine, NY 14805-9517
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1821872318
- Entity Type
- Individual
- Last Name
- Lodge
- First Name
- Madison
- Middle Name
- Edith
- Credential
- PT, DPT, CLT
- Mailing Street Address
- 5857 County Road 14
- Mailing City
- Alpine
- Mailing State
- NY
- Mailing ZIP Code
- 14805-9517
- Mailing Country
- US
- Practice Street Address
- 7571 State Route 54
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-9504
- Practice Country
- US
- Practice Phone
- (607) 776-8880
- Enumeration Date
- August 24, 2023
- Last Updated
- August 24, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)