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Individual

RACHELLE KRISTIN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
7211 W 110TH ST, OVERLAND PARK, KS 66210-2339
(913) 451-7377
(913) 451-7375
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05488
KS
225100000X
Physical Therapist
2016032645
MO
225100000X
Physical Therapist
Primary
PT012681
GA

Other

Enumeration date
07/07/2016
Last updated
11/14/2016
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