Provider Demographics
NPI:1124208483
Name:MARTEL, AIMEE EATON (DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:EATON
Last Name:MARTEL
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 LUCILLE LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2716
Mailing Address - Country:US
Mailing Address - Phone:925-334-0365
Mailing Address - Fax:
Practice Address - Street 1:1131 LOCUST ST
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4586
Practice Address - Country:US
Practice Address - Phone:925-334-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 34027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist