Individual
BRANDON MICHAEL MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 N EISENHOWER DR, JUNCTION CITY, KS 66441-2018
(785) 209-0428
Mailing address
1703 LYDIA LN, JUNCTION CITY, KS 66441-1894
(785) 209-0428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00919
KS
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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