Individual
KENDRA SHAUN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1535 S IVY ST, CANBY, OR 97013-4334
(503) 266-5541
Mailing address
499 SE 8TH AVE, CANBY, OR 97013-7738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6941
OR
225100000X
Physical Therapist
9053
NC
225100000X
Physical Therapist
PT 60058447
WA
Other
Enumeration date
04/17/2007
Last updated
04/08/2018
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