Individual provider · Type 1 NPI

Stacey L. Martin, LPTA

Physical Therapy Assistant · Petoskey, MI

NPI number 1386953099 Active

Practice location

1333 Spring St.
Petoskey, MI 49770

Call (231) 487-4638 Map

Fax (231) 487-4615

Mailing address

P.o. Box 487, 1333 Spring St.
Petoskey, MI 49770

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000603 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1386953099

Stacey L. Martin, LPTA's National Provider Identifier is 1386953099, issued on Sep 29, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Petoskey, MI. The record was last updated on Sep 29, 2010.