Female

Mrs. Jennifer K. Martin PTA

Physical Therapy Assistant in Superior, WI(View on Map)

Full Name

Mrs. Jennifer Kay Martin PTA

NPI Number

1073614715

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/26/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1060019

Contact
Information

Purpose

Mailing
Location

Address

1225 3RD AVENUE
1420 OAKES AVENUE

City

Proctor
Superior

State

MN
WI

Postal Code

55810
54880

Country

US
US

Telephone Number

(218) 590-1202
(715) 394-6355

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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