Individual
MR. JASON M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
(931) 380-4108
Mailing address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
(931) 380-4108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005466
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0000005466
PT LICENSE
TN
Enumeration date
02/20/2007
Last updated
07/08/2007
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