BILLY CHARLES TRAVIS

PRESCOTT, AZ
NPI1104494079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  13132)
Enumeration Date2021-06-16
Last Update Date2021-06-16
Business Address
BILLY CHARLES TRAVIS
948 CITY LGTS
PRESCOTT, AZ 86303-5958
Phone number: 832-439-3889
Mailing Address
BILLY CHARLES TRAVIS
948 CITY LGTS
PRESCOTT, AZ 86303-5958
Phone number: 832-439-3889