Doctor Name: | MRS. KENDRA SHAUN MARTIN |
NPI Number: | 1336364850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT 60058447 |
Business Practice Address: | 1680 Molalla Ave Oregon City, OR - 970454008 |
Business Phone Number: | 5036552588 |
Business Fax Number: | |
Mailing Address: | 499 Se 8th Ave, CANBY |
State: | OR |
Postal Code: | 970137738 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 60058447 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |