Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN GRANDAW MARTIN
Active Sole ProprietorELLEN GRANDAW MARTIN is a Physical Therapy Assistant healthcare provider located in RANDOM LAKE, Wisconsin. NPI 1902572571 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RANDOM LAKE, WI
Registration Details
- NPI Number
- 1902572571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2021 (4.9942343547377 yrs)
- Last Updated
- Aug 23, 2021
- License
-
4431-24 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
621 SPRING CTRANDOM LAKE, WI, 530751790Browse WI providers · Browse ZIP 53075
- Phone
- 9209600505
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RANDOM LAKE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. MARLENA ELIZABETH SALAZAR | PT | 1417901141 |
| MICHELLE M GRACE-JENSEN | PT | 1780625764 |
| RICHARD POLK | PT | 1225233323 |
| MRS. JULIE M. SCHMITT | PT | 1700043437 |
| MS. VIRGINIA K BOWEN | P.T. | 1790916443 |
| ABBY LYNN RISSE | PT | 1487988432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.