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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARVIN LAWRENCE VIVAS MARTINEZ, PT, DPT

Active Sole Proprietor

MR. MARVIN LAWRENCE VIVAS MARTINEZ, PT, DPT is a Physical Therapy Clinic healthcare provider located in SOUTH WILLIAMSON, Kentucky. NPI 1386296630 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · SOUTH WILLIAMSON, KY

Registration Details

NPI Number
1386296630
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2019 (7.100940004173 yrs)
Last Updated
Jul 16, 2019
License
007402 (KY)
Sole Proprietor
Yes

Practice Information

Address
260 HOSPITAL DR
SOUTH WILLIAMSON, KY, 415034072
Browse KY providers · Browse ZIP 41503
Phone
6062371717
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.