| Elizabeth A Martin, | |
|
1 Sheridan Sq Ste 100, Kingsport, TN 37660-7392 | |
| (423) 230-0194 | |
| Not Available |
| Full Name | Elizabeth A Martin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1 Sheridan Sq Ste 100, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922736339 | NPI | - | NPPES |
| 14439 | Other | TN | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP026201T (Georgia) | Secondary |
| 225100000X | Physical Therapist | 14339 (Tennessee) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Martin, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7147 | Elizabeth A Martin, 1 Sheridan Sq Ste 100, Kingsport, TN 37660-7392 Ph: (423) 230-0194 |
Mrs. Allene Proctor Heaton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-5751 Fax: 423-224-5776 | |
Makaylah Darnell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360 | |
Gilgia Prumbs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2408 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-246-7272 Fax: 423-246-2803 | |
Dr. Emily Kristina Stubblefield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Cassell Drive, Kingsport, TN 37660 Phone: 423-246-7240 | |
Advanced Therapy Of Kingsport Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Stone Dr Ste 3, Kingsport, TN 37660 Phone: 423-230-6323 | |
Mary Rebecca Mooney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Kingsport, TN 37660 Phone: 423-224-5751 | |
Sarah Elizabeth Caldwell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-2059 |