Provider Demographics
NPI:1538344825
Name:HARRIS, MARTHA F (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:F
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:F
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:502 MCKNIGHT DR
Mailing Address - Street 2:SUITE103
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7050
Mailing Address - Country:US
Mailing Address - Phone:919-217-8885
Mailing Address - Fax:919-217-8820
Practice Address - Street 1:502 MCKNIGHT DR
Practice Address - Street 2:SUITE103
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7050
Practice Address - Country:US
Practice Address - Phone:919-217-8885
Practice Address - Fax:919-217-8820
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist