Corbin Martin, PTA
Physical Therapy Assistant in Taylorsville, UT. Individual provider (NPI-1).
NPI number1104744713
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1104744713
- Entity type
- Individual (NPI-1)
- Name
- Corbin Martin
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2026
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 142169902402 | UT | Yes |
Practice location
2195 W 5400 S Ste 105Taylorsville, UT 84129-1433
Phone 385-255-8255
Mailing address
3914 W 950 NLehi, UT 84048-7788
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