Provider Demographics
NPI:1568001659
Name:MARTIN, CINNAMON MICHELLE (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CINNAMON
Middle Name:MICHELLE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:CINNAMON
Other - Middle Name:MICHELLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 AFTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6940
Mailing Address - Country:US
Mailing Address - Phone:571-271-7907
Mailing Address - Fax:
Practice Address - Street 1:1329 AFTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6940
Practice Address - Country:US
Practice Address - Phone:571-271-7907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12479402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic