Provider Demographics
NPI:1013015684
Name:FERRETTI, MARTHA J (PT, MPH, FAPTA)
Entity Type:Individual
Prefix:PROF
First Name:MARTHA
Middle Name:J
Last Name:FERRETTI
Suffix:
Gender:F
Credentials:PT, MPH, FAPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NE 13TH ST
Mailing Address - Street 2:ROOM 237A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5005
Mailing Address - Country:US
Mailing Address - Phone:405-271-2434
Mailing Address - Fax:405-271-2432
Practice Address - Street 1:801 NE 13TH ST
Practice Address - Street 2:ROOM 237A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5005
Practice Address - Country:US
Practice Address - Phone:405-271-2434
Practice Address - Fax:405-271-2432
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK736017987106OtherBCBS