Individual
BRYCE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1809 GUNBARREL RD STE 101, CHATTANOOGA, TN 37421-7185
(423) 893-9020
(423) 893-9040
Mailing address
975 EAST THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 893-9020
(423) 893-9040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9595
TN
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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