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General NPI Number Information
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NPI Number | 1700707239
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Entity Type | Individual
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Provider Name | KAYLEE MARTIN LMT
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 2214 N ATHERTON ST STE 316
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City | STATE COLLEGE
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State | PA
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Zip | 16803-1544
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Country | US
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Telephone | 814-400-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 805 STRATFORD DR APT 15
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4338
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Country | US
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Telephone | 814-414-5221
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG011313
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License Number State | PA
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