MR. Tracy Dale Martin, PT, ATC

NPI #1417025289 in Maryville, Tennessee

Provider Information

NPI Number: 1417025289
Entity Type: Individual
Name: MR. Tracy Dale Martin, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, ATC
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 829 E LAMAR ALEXANDER PKWY
City: Maryville
State: Tennessee
ZIP Code: 37804-5001
Phone: (865) 977-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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