Thomas Matt Martinez, LPTA

NPI #1104475623 in Pueblo, Colorado

Provider Information

NPI Number: 1104475623
Entity Type: Individual
Name: Thomas Matt Martinez, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Sep 6, 2019
Last Updated: Sep 6, 2019

Practice Location

Address: 2701 CALIFORNIA ST
City: Pueblo
State: Colorado
ZIP Code: 81004-3869
Phone: (719) 561-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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