Individual provider · Type 1 NPI
Madison Grace Targgart
Student in an Organized Health Care Education/Training Program · Kendallville, IN
NPI number
1538030440
Active
Practice location
2024 Granny Smith Pl
Kendallville, IN 46755-2874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Kendallville
About NPI 1538030440
Madison Grace Targgart's National Provider Identifier is 1538030440, issued on Sep 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kendallville, IN. The record was last updated on Sep 15, 2025.