Healthcare Provider Details

I. General information

NPI: 1619892908
Provider Name (Legal Business Name): HUNTER MARTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W STRUB RD
SANDUSKY OH
44870-5390
US

IV. Provider business mailing address

606 S TOWNSHIP ROAD 81
ATTICA OH
44807-9711
US

V. Phone/Fax

Practice location:
  • Phone: 419-626-6161
  • Fax:
Mailing address:
  • Phone: 567-224-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number022600
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: