Individual
RYAN JAMES MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
Mailing address
2607 VISTA LARGA AVE NE, ALBUQUERQUE, NM 87106-2649
(719) 588-6842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2023-2146
NM
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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