Provider Demographics
NPI:1770828139
Name:MARTI SMITH SEMINARS
Entity Type:Organization
Organization Name:MARTI SMITH SEMINARS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:512-249-9809
Mailing Address - Street 1:10904 ENCHANTED ROCK CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-1336
Mailing Address - Country:US
Mailing Address - Phone:512-249-9809
Mailing Address - Fax:866-750-0327
Practice Address - Street 1:10904 ENCHANTED ROCK CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-1336
Practice Address - Country:US
Practice Address - Phone:512-249-9809
Practice Address - Fax:866-750-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111210225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty