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General NPI Number Information
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NPI Number | 1497674360
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Entity Type | Individual
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Provider Name | MARTHA STARTUP PT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1405 S SIZER AVE STE B
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City | JEFFERSON CITY
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State | TN
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Zip | 37760-2421
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Country | US
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Telephone | 865-262-9044
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Fax | 865-262-9045
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Provider Business Mailing Address
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Address Line | 1603 CARDINAL DR
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City | MORRISTOWN
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State | TN
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Zip | 37814-3308
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Country | US
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Telephone | 865-262-9044
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Fax | 865-262-9045
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5935
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License Number State | TN
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