Healthcare Provider Details

I. General information

NPI: 1841103090
Provider Name (Legal Business Name): KATLYN MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6640 PERIMETER DR
DUBLIN OH
43016-8030
US

IV. Provider business mailing address

3817 LUXAIR DR
HILLIARD OH
43026-1562
US

V. Phone/Fax

Practice location:
  • Phone: 380-240-9150
  • Fax:
Mailing address:
  • Phone: 380-240-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: