| Doctor Name: | MICHELE MARTIN |
| NPI Number: | 1467598359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT1238 |
| Business Practice Address: | 1500 Wilson Loop Ward, AR - 72176 |
| Business Phone Number: | 5019415630 |
| Business Fax Number: | |
| Mailing Address: | 12 Krooked Kreek Cir, CABOT |
| State: | AR |
| Postal Code: | 720233844 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT1238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |