Individual
DR. MALISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, ATC
Contact information
Practice address
438 CRESTHAVEN DR, LAWRENCEBURG, IN 47025-6719
(812) 537-9781
Mailing address
438 CRESTHAVEN DR, LAWRENCEBURG, IN 47025-6719
(812) 537-9781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002260
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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