Individual
MARTHA M WATRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CERT .M.D.T.
Contact information
Practice address
1610 ROBB DR STE D5, RENO, NV 89523-3520
(775) 746-9222
(775) 746-9224
Mailing address
1610 ROBB DR STE D5, RENO, NV 89523-3520
(775) 746-9222
(775) 746-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1356
NV
225100000X
Physical Therapist
5100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416142
—
NV
Enumeration date
11/08/2005
Last updated
01/11/2012
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