Individual ProviderAndria Michelle MartinMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address709 N Main St, North Syracuse, NY 13212-1669(315) 937-5954(315) 720-3456PECOS EnrollmentBased on the most recent information from CMS, provider Andria Michelle Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1528720083Provider TypeIndividualFull NameMartin, Andria MichelleGenderFemaleSole ProprietorYesEnumeration Date10/12/2021Last Updated10/12/2021Contact InformationPractice LocationPractice Address709 N Main St, North Syracuse, NY 13212-1669Phone(315) 937-5954FaxUnlisted FaxMailing LocationMailing Address112 Suburban Park Dr Apt 1, Manlius, NY 13104-1956Phone(315) 720-3456FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer