Individual
MS. TANYA SHARRON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 2ND AVE, CONCORDIA, KS 66901-2727
(785) 243-2720
Mailing address
101 E 19TH ST, CONCORDIA, KS 66901-5319
(785) 275-3249
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01994
KS
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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