Individual
MR. KIM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3401 AMADOR DR, FT WORTH, TX 76177-2227
(682) 204-0853
Mailing address
23 KRAMER LN, SANGER, TX 76266-5782
(325) 226-3364
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1033884
TX
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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