Individual
SHANNON MICHELE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(589) 608-7127
Mailing address
3917 PEPPERTREE DR, LEXINGTON, KY 40513-1330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135023
KY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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