Individual
MICHAELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 CHANCELLOR DR, SUITE 105, CRESTVIEW HILLS, KY 41017-3912
(859) 426-5666
Mailing address
1653 HILLSBORO RD, CAMPBELLSBURG, KY 40011-6513
(502) 554-2006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A035507
KY
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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