Male or Other

Charles R. Martin PT

Physical Therapist in Yakima, WA(View on Map)

Full Name

Charles Robert Martin PT

NPI Number

1255395679

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/13/2006

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

PT00003868

Contact
Information

Purpose

Mailing
Location

Address

2701 KING COURT
3901 CREEKSIDE LOOP

City

Yakima
Yakima

State

WA
WA

Postal Code

98902
98902

Country

US
US

Telephone Number

(509) 248-6075
(509) 248-6113

Identifiers

Identifier

8343691
186246

Identifier State

WA
WA

Identifier Issuer

Unknown
L AND I

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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