Provider Demographics
NPI:1043560139
Name:MARTHA M MASTERS
Entity Type:Organization
Organization Name:MARTHA M MASTERS
Other - Org Name:JUST ABOUT YOU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:423-839-0670
Mailing Address - Street 1:301 E 1ST NORTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-4711
Mailing Address - Country:US
Mailing Address - Phone:423-231-5978
Mailing Address - Fax:
Practice Address - Street 1:301 E 1ST NORTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-4711
Practice Address - Country:US
Practice Address - Phone:423-839-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier