Individual
MR. MICHEAL SHAWN MARTIN
Active
Individual
MR. MICHEAL SHAWN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT,ATC,CSCS,PES
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2890
AR
2255A2300X
Athletic Trainer
234
AR
Other
Enumeration date
01/16/2007
Last updated
01/24/2014
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