TRAVIS NORTHERN

SAINT JOSEPH, MO
NPI1104465145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2025013705)
Enumeration Date2019-12-21
Last Update Date2026-10-16
Business Address
TRAVIS NORTHERN
4782 SIENNA DR
SAINT JOSEPH, MO 64506-4862
Phone number: 913-758-6925
Mailing Address
TRAVIS NORTHERN
7 SE EAGLE RIDGE DR
SAINT JOSEPH, MO 64507-8123
Phone number: 417-342-7855
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