Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 269-4590
Mailing address
DEPT 1762, DENVER, CO 80291-1762
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL4024
CO
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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