Doctor Name: | MR. TROY JOHN MARTIN |
NPI Number: | 1538305040 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MT-11913 |
Business Practice Address: | 1875 Hackberry Dr Prescott, AZ - 863011236 |
Business Phone Number: | 9282738417 |
Business Fax Number: | 9284450715 |
Mailing Address: | 1875 Hackberry Dr, PRESCOTT |
State: | AZ |
Postal Code: | 863011236 |
Phone Number: | 9282738417 |
Fax Number: | 9284450715 |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-11913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |