Provider Demographics
NPI:1730779919
Name:BADDING, MADISON FAY (DC)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:FAY
Last Name:BADDING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:FAY
Other - Last Name:GRAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2403 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634
Mailing Address - Country:US
Mailing Address - Phone:970-330-2171
Mailing Address - Fax:
Practice Address - Street 1:2403 W 27TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634
Practice Address - Country:US
Practice Address - Phone:970-330-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008316111N00000X
COCHR0008316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor