Individual
MR. DOUGLAS JAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2020 N 1ST ST, HAMILTON, MT 59840-3187
(406) 375-0980
(406) 375-9938
Mailing address
2020 N 1ST ST, HAMILTON, MT 59840-3187
(406) 375-0980
(406) 375-9938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1181
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000341768
—
MT
01
—
60636
BCBS
MT
01
—
650018806
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
07/23/2013
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