Provider Demographics
NPI:1245707314
Name:SHERRI MARTINEZ PHYSICAL THERAPY & WELLNESS, LLC
Entity type:Organization
Organization Name:SHERRI MARTINEZ PHYSICAL THERAPY & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:406-579-3946
Mailing Address - Street 1:12 W HAYES ST APT G2
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-5668
Mailing Address - Country:US
Mailing Address - Phone:406-579-3946
Mailing Address - Fax:
Practice Address - Street 1:2415 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3809
Practice Address - Country:US
Practice Address - Phone:406-579-3946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy