Provider Demographics
NPI:1366649527
Name:UHL, MARTHA JANE (PT)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:JANE
Last Name:UHL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 E GUM ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-2206
Mailing Address - Country:US
Mailing Address - Phone:812-473-5342
Mailing Address - Fax:
Practice Address - Street 1:4255 MEDWEL DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2528
Practice Address - Country:US
Practice Address - Phone:812-853-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001517A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist