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Individual

ANDREW THOMAS MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 NE LAKEWOOD BLVD, LEES SUMMIT, MO 64064-1353
(816) 607-7180
Mailing address
2138 JAYHAWK RD, FORT SCOTT, KS 66701-4614
(620) 820-0085

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-08099
KS
225100000X
Physical Therapist
Primary
2026008210
MO

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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