Individual provider · Type 1 NPI
Lyvetta Walker Marshall, SPECIALIST
Orthotic Fitter · Martinez, GA
NPI number
1376869263
Active
Practice location
187 Hightower Dr, Suite B
Martinez, GA 30907-8405
Mailing address
3781 Freeman Dr
Martinez, GA 30907-9578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter Primary | 225000000X | CO072859 (GA) |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
About NPI 1376869263
Lyvetta Walker Marshall, SPECIALIST's National Provider Identifier is 1376869263, issued on Apr 16, 2010. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Martinez, GA. The record was last updated on Apr 16, 2010.