DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE MARTIN

Active Sole Proprietor

THEODORE MARTIN is a Physical Therapy Assistant healthcare provider located in PAGE, Arizona. NPI 1992257695 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PAGE, AZ

Registration Details

NPI Number
1992257695
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2016 (9.7579548829747 yrs)
Last Updated
Oct 28, 2016
License
11135 (AZ)
Sole Proprietor
Yes

Practice Information

Address
39 6TH AVENUE
PAGE, AZ, 86040
Browse AZ providers · Browse ZIP 86040
Phone
9288120152
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PAGE, AZ

Name Credential NPI
DR. GEORGE WERTZ DPT 1821540899
NAQUITA AHERN DPT 1114447653
BARBARA BANANOV PT,DPT 1144861154
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.