Individual
ADAM PATRICK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
411 E WATTS LN STE C, RAPID CITY, SD 57701-4043
(208) 277-4920
Mailing address
5407 BETHPAGE DR, RAPID CITY, SD 57702-9577
(208) 277-4920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1890
SD
225100000X
Physical Therapist
PT-2577
ID
225100000X
Physical Therapist
Primary
PT60124066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174858690
—
WA
05
—
1174858690-001
—
ID
05
—
808561200
—
ID
Enumeration date
10/16/2009
Last updated
12/18/2024
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