| Thomas Martin, PT | |
| 
					1 Clinic Road, Grand Canyon, AZ 86023  | |
| (928) 638-2551 | |
| (928) 638-2598 | 
| Full Name | Thomas Martin | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 1 Clinic Road, Grand Canyon, Arizona | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013981133 | NPI | - | NPPES | 
| 3678 | Other | AZ | LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 3678 (Arizona) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Martin, PT Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 233-5110  | Thomas Martin, PT 1 Clinic Road, Grand Canyon, AZ 86023 Ph: (928) 638-2551  | 
Megan June Mahoney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Clinic Rd., Grand Canyon, AZ 86023 Phone: 928-638-2551  | |
Miss Julie L Stone, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Clinic Road, Grand Canyon, AZ 86023 Phone: 928-638-2551 Fax: 928-638-2598  |