Individual
TEDRIA L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NT
Contact information
Practice address
2013 N ASHLEY ST, VALDOSTA, GA 31602-3028
(229) 234-9118
Mailing address
PO BOX 10351, VALDOSTA, GA 31604-0351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015492
GA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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