Individual
RAQUEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W CENTRAL AVE STE E, ANDOVER, KS 67002-9687
(316) 303-5249
Mailing address
310 W CENTRAL AVE STE E, ANDOVER, KS 67002-9687
(316) 303-5259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
202002B
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202002
LICENSE
—
Enumeration date
02/11/2021
Last updated
02/11/2021
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