NPI 1154963759

Kenneshia M Martin

Practitioner Physical Therapy Assistant Riverview, FL

Practice location

Address: 13135 Early Run Lane, Riverview, FL 33578
Phone: (813) 564-5468
Mailing address: PO Box 3836, Brandon, FL 33509-3836

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA003385 (GA)

Other Physical Therapy Assistant providers in Florida →

Registry record

NPI: 1154963759
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2019
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.