Provider Demographics
NPI:1043273030
Name:FEES, MARTIN ALLEN (MSPT)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:ALLEN
Last Name:FEES
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16C DEATRICK DR
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-6958
Mailing Address - Country:US
Mailing Address - Phone:717-337-3300
Mailing Address - Fax:717-337-2977
Practice Address - Street 1:16C DEATRICK DRIVE
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-3401
Practice Address - Country:US
Practice Address - Phone:717-337-3300
Practice Address - Fax:717-337-2977
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010619L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01855701OtherCAPITAL BLUECROSS
PA0016893630004Medicaid
PA0681723000OtherPERSONAL CHOICE
PAT7090002OtherCAREFIRST
PA54496403OtherCAREFIRST BLUE SHIELD
PA474461OtherHIGHMARK BLUE SHIELD
PA2131536OtherAETNA
PA4411992OtherAETNA
PA4411992OtherAETNA