| Doctor Name: | MR. MARTIN RUBEN BROYLES |
| NPI Number: | 1760705511 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 3237 |
| Business Practice Address: | 3114 Fox Road Suite A Hadley Pediatric Physical Therapy, Pllc, Jonesboro, AR - 72404 |
| Business Phone Number: | 8709339294 |
| Business Fax Number: | |
| Mailing Address: | 205 S Main St Unit 201, JONESBORO |
| State: | AR |
| Postal Code: | 724012908 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2010 |
| NPI Last Update Date: | 03/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |