Doctor Name: | RYAN MARTIN |
NPI Number: | 1902155344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3537 |
Business Practice Address: | 3088 Aukele St Lihue, HI - 967662124 |
Business Phone Number: | 8086320033 |
Business Fax Number: | |
Mailing Address: | Po Box 288, LIHUE |
State: | HI |
Postal Code: | 967660288 |
Phone Number: | 8086320077 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |