Individual
HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
42228 JEFFERSON DR, HAMMOND, LA 70403-2158
(985) 215-1681
Mailing address
42228 JEFFERSON DR, HAMMOND, LA 70403-2158
(985) 215-1681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002643
GA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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