Individual provider · Type 1 NPI

Kenneshia M. Martin

Physical Therapy Assistant · Riverview, FL

NPI number 1154963759 Active

Practice location

13135 Early Run Lane
Riverview, FL 33578

Mailing address

PO Box 3836
Brandon, FL 33509-3836

Other practice locations

  • 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 · (770) 940-3196

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA003385 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154963759

Kenneshia M. Martin's National Provider Identifier is 1154963759, issued on Oct 15, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Riverview, FL. The record was last updated on Oct 7, 2020.