Individual
DUSTIN BLAINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2100 EXETER RD, GERMANTOWN, TN 38138-3966
(901) 757-1350
(901) 757-3496
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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