Provider Demographics
NPI:1356795181
Name:CELENTANO, MADISON ASHLEY (MBA, LAT, ATC)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:ASHLEY
Last Name:CELENTANO
Suffix:
Gender:F
Credentials:MBA, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 STEPHANIE RD
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-9416
Mailing Address - Country:US
Mailing Address - Phone:610-741-7558
Mailing Address - Fax:
Practice Address - Street 1:25822 BURBAGE CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-7043
Practice Address - Country:US
Practice Address - Phone:610-679-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer