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Individual

JEFFREY EUGENE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4800 W 135TH ST STE 210, LEAWOOD, KS 66224-8722
(913) 766-9816
(913) 766-6813
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-3213
KS
225100000X
Physical Therapist
2002025838
MO

Other

Enumeration date
06/13/2013
Last updated
10/07/2022
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