Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Davisson Martin, PT

Individual provider Physical Therapist · NPI 1467480095

Mary Davisson Martin, PT is a Physical Therapist in Fenton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1700B Gilsinn Ln
Fenton, MO 63026-2004
Phone: (636) 343-6279
Fax: (636) 343-6279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 01589 (MO)

Record details

NPI number1467480095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 30, 2006
Last updated in NPPESSeptember 16, 2011

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