NPI 1073614715

Jennifer Kay Martin, PTA

Practitioner Physical Therapy Assistant Superior, WI

Practice location

Address: 1420 Oakes Avenue, Superior, WI 54880
Phone: (715) 394-6355
Fax: (715) 394-2191
Mailing address: 1225 3rd Avenue, Proctor, MN 55810

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1060019 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1073614715
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.