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Individual

HUNTER MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Mailing address
374 KROGER WAY, VERSAILLES, KY 40383-1915

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP003424T
TX
225100000X
Physical Therapist
TP2019099
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TP2019099
KENTUCKY BOARD OF PHYSICAL THERAPY
KY
Enumeration date
09/12/2019
Last updated
12/23/2024
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