Doctor Name: | DR. MICHAEL SCOTT MARTIN |
NPI Number: | 1679689715 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 3836 |
Business Practice Address: | 2615 N 4th St Suite 3 Flagstaff, AZ - 860041812 |
Business Phone Number: | 9282148969 |
Business Fax Number: | 9282147405 |
Mailing Address: | Po Box 2157, FLAGSTAFF |
State: | AZ |
Postal Code: | 860032157 |
Phone Number: | 9282148969 |
Fax Number: | 9282147405 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3836 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
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 |