Individual
BENJAMIN MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2312 S DIXON RD STE 250, KOKOMO, IN 46902-6426
(765) 455-2122
Mailing address
4116 S LANDESS ST, MARION, IN 46953-4939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002898A
IN
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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