| Organization Name: | MARTIN PHYSICAL THERAPY AND WELLNESS, INC. |
| NPI Number: | 1376717868 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY K. MARTIN (CEO) |
| Mailing Address: | 1030 Peach Pkwy Suite 8 Fort Valley |
| State: | GA US |
| Postal Code: | 310308181 |
| Phone Number: | 4788229809 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 01/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |