Michelle Willis Martin, PT

NPI #1457395196 in Jackson, Tennessee

Provider Information

NPI Number: 1457395196
Entity Type: Individual
Name: Michelle Willis Martin, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 15, 2006
Last Updated: Jul 17, 2009

Practice Location

Address: 85 STONEBROOK PL
City: Jackson
State: Tennessee
ZIP Code: 38305-3653
Phone: (731) 664-7060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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