Individual
KYLE JAMES MARTINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3832 E MAIN ST, SUITE E, FARMINGTON, NM 87402-8749
(505) 258-4003
(505) 436-2740
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH8918
AL
225100000X
Physical Therapist
Primary
—
NM
2251E1300X
Clinical Electrophysiology Physical Therapist
12768
TN
2251E1300X
Clinical Electrophysiology Physical Therapist
PTH8918
AL
Other
Enumeration date
12/01/2016
Last updated
02/19/2026
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