MEDICARE: MARTI SMITH SEMINARS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	111210	TX

General Provider Information

NPI Number	:	1770828139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTI SMITH SEMINARS

Provider Business Mailing Address
First Line	:	10904 ENCHANTED ROCK CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-1336
Country	:	US
Telephone Number	:	512-249-9809
Fax Number	:	866-750-0327

Provider Business Practice Location Address
First Line	:	10904 ENCHANTED ROCK CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-1336
Country	:	US
Telephone Number	:	512-249-9809
Fax Number	:	866-750-0327

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. MARTI SMITH
Credential	:	OTR
Telephone Number	:	512-249-9809

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	12/11/2012

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