Provider Demographics
NPI:1255485496
Name:MARTINEZ TOM, MARTA P (DAOM, LIC AC)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:P
Last Name:MARTINEZ TOM
Suffix:
Gender:F
Credentials:DAOM, LIC AC
Other - Prefix:DR
Other - First Name:MARTA
Other - Middle Name:P
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DAOM
Mailing Address - Street 1:18 BATES ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2302
Mailing Address - Country:US
Mailing Address - Phone:413-585-0606
Mailing Address - Fax:413-585-0603
Practice Address - Street 1:18 BATES ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2302
Practice Address - Country:US
Practice Address - Phone:413-585-0606
Practice Address - Fax:413-585-0603
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219376171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist