Individual provider · Type 1 NPI

Tara Martinez

Student in an Organized Health Care Education/Training Program · Mankato, MN

NPI number 1700230273 Active

Practice location

1102 Warren St Apt 2
Mankato, MN 56001-4689

Call (507) 420-0105 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1700230273

Tara Martinez's National Provider Identifier is 1700230273, issued on Apr 20, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mankato, MN. The record was last updated on Apr 20, 2016.