Doctor Name: | MRS. MICHELLE R MARTIN |
NPI Number: | 1528179199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05006744A |
Business Practice Address: | 2310 California Road Elkhart, IN - 465141228 |
Business Phone Number: | 5745342548 |
Business Fax Number: | |
Mailing Address: | 2310 California Road, ELKHART |
State: | IN |
Postal Code: | 465141228 |
Phone Number: | 5742640791 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05006744A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |