Madelyne Kaye Porter, is a
Massage Therapist based in West Haven, Utah. Madelyne Kaye Porter is licensed to practice in Utah (license number 9505343-4701) and her current practice location is
5057 W 3450 S, West Haven, Utah. She can be reached at her office (for appointments etc.) via phone at
(757) 771-6783.
NPI number for Madelyne Kaye Porter is 1336790146 and her current mailing address is 5057 W 3450 S, West Haven, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336790146.
Healthcare Provider's Profile
Full Name | Madelyne Kaye Porter |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5057 W 3450 S, West Haven, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336790146
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 03/13/2025
Medical Identifiers
Medical identifiers for Madelyne Kaye Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336790146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 148704 (Alaska) | Secondary |
225700000X | Massage Therapist | 9505343-4701 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madelyne Kaye Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Madelyne Kaye Porter, 5057 W 3450 S, West Haven, UT 84401-8826 Ph: () - | Madelyne Kaye Porter, 5057 W 3450 S, West Haven, UT 84401-8826 Ph: (757) 771-6783 |
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