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)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