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NPI Code Detail

MEDICARE: DR. KATHRYN SUE MARTIN PT, DHS

MEDICARE: DR. KATHRYN SUE MARTIN PT, DHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05002805AIN

General Provider Information

NPI Number : 1932142460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN SUE MARTIN PT, DHS
Provider Business Mailing Address
First Line : 7327 S FRANKLIN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46259-9628
Country : US
Telephone Number : 317-862-3785
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E HANNA AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3630
Country : US
Telephone Number : 317-788-2117
Fax Number : 317-788-3542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/08/2007

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