NPI 1235393703

Kelly Jo Martin, LMT

Practitioner Mechanotherapist Farmers Branch, TX

Practice location

Address: 14632 Tanglewood Dr, Farmers Branch, TX 75234-2554
Phone: (469) 237-6599

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT105536 (TX)

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Registry record

NPI: 1235393703
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2008
Record last updated: 15 Jul 2008

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.