Individual
MIKAYLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 W LANE AVE, COLUMBUS, OH 43210-1132
(614) 292-6446
Mailing address
142 FOX CHAPEL RD, HENRIETTA, NY 14467-9538
(315) 382-9181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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