Individual
NATHAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
2416 JARVIS ST SW, DECATUR, AL 35603-2689
(865) 406-8405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7508
AL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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