Individual
KATHRYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3545 CARVER SCHOOL RD, WINSTON SALEM, NC 27105-4033
(704) 918-0793
Mailing address
143 FOREST VIEW DR, WINSTON SALEM, NC 27104-3656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1346
NC
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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