Individual provider · Type 1 NPI
Thomas Oliver Martin
Student in an Organized Health Care Education/Training Program · Metamora, IL
NPI number
1396466322
Active
Practice location
1411 Saddle Brook Ln
Metamora, IL 61548-8498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1396466322
Thomas Oliver Martin's National Provider Identifier is 1396466322, issued on Sep 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Metamora, IL. The record was last updated on Sep 7, 2022.