Emily Martin, LAT, ATC

Individual provider Active NPI Athletic Trainer · Mount Vernon, IA

NPI 1972034064 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1972034064
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
600 1St St
Mount Vernon, IA 52314
Phone
(608) 732-1795
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
Yes

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 Yes

Addresses

Primary practice location

600 1St St
Mount Vernon, IA 52314

Mailing address

600 1St St
Mount Vernon, IA 52314
Phone (608) 732-1795

Other providers in Mount Vernon, IA

All providers in Mount Vernon, IA · Athletic Trainer in Iowa

Sources for this page

Verify at the official NPI Registry.