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1093282543
TRAVIS CRUISE WEST
ATHENS, TN
NPI
1093282543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6973)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
Mr. TRAVIS CRUISE WEST PTA
1204 FRYE ST
ATHENS, TN 37303
Phone number: 423-745-0434
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Mailing Address
Mr. TRAVIS CRUISE WEST PTA
921 OAK GROVE RD
MADISONVILLE, TN 37354-6202
Phone number: 423-261-4161
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