Provider Demographics
NPI:1851987267
Name:MARTHELLY, MARLYN (BS RRT)
Entity Type:Individual
Prefix:
First Name:MARLYN
Middle Name:
Last Name:MARTHELLY
Suffix:
Gender:F
Credentials:BS RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PRESIDENTIAL WAY APT 1506
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-1517
Mailing Address - Country:US
Mailing Address - Phone:156-137-6863
Mailing Address - Fax:
Practice Address - Street 1:2000 PRESIDENTIAL WAY APT 1506
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-1517
Practice Address - Country:US
Practice Address - Phone:156-137-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5726227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered