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

Mrs. Clarice Dewitt Marty, LPTA

Individual provider Physical Therapy Assistant · NPI 1508031550

Mrs. Clarice Dewitt Marty, LPTA is a Physical Therapy Assistant in Fort Gordon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

300 W Hospital Road Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence GA 799 (GA)

Record details

NPI number1508031550
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008

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