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

Vivian Martindale

Individual provider Physical Therapist · NPI 1891611471

Vivian Martindale is a Physical Therapist in Walnut, Mississippi. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
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Practice location Address checks out

130A James Otis Smith Dr
Walnut, MS 38683
Phone: (662) 223-0064
Fax: (662) 223-0074
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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 8195 (IL)

Record details

NPI number1891611471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 8, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925