Healthcare Provider Details

I. General information

NPI: 1396692505
Provider Name (Legal Business Name): YENIFER SINDY MARTINEZ MSAT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 RILEY FUZZEL RD
SPRING TX
77386-4851
US

IV. Provider business mailing address

650 SGT ED HOLCOMB BLVD N APT 10206
CONROE TX
77304-0021
US

V. Phone/Fax

Practice location:
  • Phone: 469-901-4620
  • Fax:
Mailing address:
  • Phone: 469-901-4620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT10512
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: