Denise Lyn Martin, PT
Physical Therapist in Hillsboro, MO. Individual provider (NPI-1).
NPI number1104339241
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1104339241
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Denise Lyn Martin
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 104968 | MO | Yes |
Practice location
10679 Business 21Hillsboro, MO 63050-5094
Phone 314-650-1116
Mailing address
1329 Beulah DrFestus, MO 63028-1074
Phone 314-650-1116
Other practice locations
1329 Beulah Dr
Festus, MO 63028-1074
Festus, MO 63028-1074
Phone 314-650-1116 · Fax 314-650-1116
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