Provider Demographics
NPI:1467969576
Name:OSTLER, MARTA HELEN (PT)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:HELEN
Last Name:OSTLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 COFFEEN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5352
Mailing Address - Country:US
Mailing Address - Phone:307-752-8354
Mailing Address - Fax:307-466-1237
Practice Address - Street 1:800 COFFEEN AVE STE B
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5352
Practice Address - Country:US
Practice Address - Phone:307-752-8354
Practice Address - Fax:307-466-1237
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13109225100000X
WY0622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist