Provider Demographics
NPI:1326809468
Name:LINSEY MARTIN PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:LINSEY MARTIN PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, IBCLC, CEIM
Authorized Official - Phone:214-417-2613
Mailing Address - Street 1:1094 RIVER MIST CIR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-8639
Mailing Address - Country:US
Mailing Address - Phone:214-417-2613
Mailing Address - Fax:
Practice Address - Street 1:1094 RIVER MIST CIR
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549-8639
Practice Address - Country:US
Practice Address - Phone:214-417-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy