Doctor Name: | MR. JEFFREY EUGENE MARTIN |
NPI Number: | 1285072074 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 2002025838 |
Business Practice Address: | 10415 Lackman Rd Lenexa, KS - 662191221 |
Business Phone Number: | 9134959905 |
Business Fax Number: | 9134959945 |
Mailing Address: | 10415 Lackman Rd, LENEXA |
State: | KS |
Postal Code: | 662191221 |
Phone Number: | 9134959905 |
Fax Number: | 9134959945 |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2002025838 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |