Individual
MR. KELLY H MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,ATC
Contact information
Practice address
1301 A HARRISON AVE, PROFESSIONAL REHAB ASSOCIATES, MCCOMB, MS 39648
(601) 250-5455
(601) 250-5453
Mailing address
1301 A HARRISON AVE, MCCOMB, MS 39648
(601) 250-5455
(601) 250-5453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5264
MS
2255A2300X
Athletic Trainer
AT0461
MS
Other
Enumeration date
05/24/2012
Last updated
07/21/2014
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