Individual
KATRINA MARTIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
160 SMITH BALLARD ST, RICHMOND, KY 40475-2148
(859) 625-2900
Mailing address
160 SMITH BALLARD ST, RICHMOND, KY 40475-2148
(859) 625-2900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000079941
KY
222Q00000X
Developmental Therapist
Primary
000079941
KY
Other
Enumeration date
09/05/2012
Last updated
01/23/2015
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