Individual
KATHARINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 248-5320
Mailing address
805 S 30TH AVE, YAKIMA, WA 98902-4005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60379814
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60379814
PHYSICAL THERAPIST LICENSE
WA
Enumeration date
01/25/2019
Last updated
01/25/2019
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