IndividualActive
Becky Martin, PTA
NPI 1104116003 · Physical Therapy Clinic/Center · Pueblo, CO
Provider details
- NPI number
- 1104116003
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 311679605 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
100 San Carlos Rd Apt 310
Pueblo, CO 81005-2665
Phone: (719) 564-2370
Approximate (ZIP-level) locationGet directions
Mailing address
100 San Carlos Rd Apt 310
Pueblo, CO 81005-2665
Registry dates
- Enumerated
- 2011-04-12
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.