| Doctor Name: | MARTHA ELIZABETH GLENN |
| NPI Number: | 1154553451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT60093163 |
| Business Practice Address: | 19820 Sr 410 E Suite 201 Bonney Lake, WA - 983916377 |
| Business Phone Number: | 2538637510 |
| Business Fax Number: | 2538635970 |
| Mailing Address: | Po Box 2170, SUMNER |
| State: | WA |
| Postal Code: | 983900480 |
| Phone Number: | 2538637510 |
| Fax Number: | 2538406340 |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 08/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60093163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |