NPI 1427599018
Mark Marble, CTRS
Practice location
- Address
- 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
- Phone
- (601) 362-4471
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1427599018
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Mar 2017
- Record last updated
- 15 Mar 2017
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.