Kelly Catherine Martin in Medford - Physical Therapist
Kelly Catherine Martin - NPI 1174687263
Kelly Catherine Martin is a Physical Therapist in Medford, Oregon. Kelly Catherine Martin practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Catherine Martin is 1174687263. The last update date is 2021-12-13.
Kelly Catherine Martin's current location address is 2627 Siskiyou Blvd Ste 102, Medford, Oregon. You can contact this provider via phone number 5415001779 and fax number 5415001943. The mailing address for Kelly Catherine Martin is 2627 Siskiyou Blvd Ste 102, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Catherine Martin |
|---|---|
| Address | 2627 Siskiyou Blvd Ste 102, Medford, Oregon |
| Phone Number | 5415001779 |
| Fax Number | 5415001943 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1174687263 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 2627 Siskiyou Blvd Ste 102 |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975048188 |
| Phone Number | 5415001779 |
| Fax Number | 5415001943 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5148 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J284217 | OR | PACIFIC SOURCE | |
| 804894012 | OR | BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Catherine Martin?
The Kelly Catherine Martin has been issued the NPI (National Provider Identifier) 1174687263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kelly Catherine Martin located?
The Kelly Catherine Martin is located at 2627 Siskiyou Blvd Ste 102, Medford, OR 975048188.
What is Kelly Catherine Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Catherine Martin's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did Kelly Catherine Martin receive its 1174687263 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Catherine Martin was assigned its 1174687263 on 2006-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Catherine Martin most recently updated?
The details pertaining to the Kelly Catherine Martin, including its address, specialty, and other relevant information, were last refreshed on 2021-12-13.
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