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Contact Information

KENNESHIA M MARTIN
13135 EARLY RUN LANE
RIVERVIEW, FL33578
 Phone: 813-564-5468
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for KENNESHIA M MARTIN · (Female)

NPI Number 1154963759
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2019
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PTA003385
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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