Provider Demographics
NPI:1699383828
Name:MARTINS, CLAIRE MICHELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:MICHELLE
Last Name:MARTINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:MICHELLE
Other - Last Name:TAUSCHEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 BERGAMONT BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-3956
Mailing Address - Country:US
Mailing Address - Phone:215-834-6509
Mailing Address - Fax:
Practice Address - Street 1:4602 EASTPARK BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-2002
Practice Address - Country:US
Practice Address - Phone:608-220-9331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15123-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist