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

Prof. Lori Michell Martin

Individual provider Physical Therapy Assistant · NPI 1619657509

Prof. Lori Michell Martin is a Physical Therapy Assistant in Pace, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4685 Chumuckla Hwy
Pace, FL 32571-1007
Phone: (850) 736-8412
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 25893 (FL)

Record details

NPI number1619657509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address4290 Del Prado Cir, Pace, FL 32571-3062

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