Sarah Lynn Martin

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ketchikan, AK

NPI 1144582602 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1144582602
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
39 Lake Rd
Ketchikan, AK 99901-9769
Phone
(907) 617-3033
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

39 Lake Rd
Ketchikan, AK 99901-9769

Mailing address

201 Deermount St
Ketchikan, AK 99901-6649
Phone (907) 225-7825

Other providers in Ketchikan, AK

All providers in Ketchikan, AK · Student in an Organized Health Care Education/Training Program in Alaska

Sources for this page

Verify at the official NPI Registry.