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1164679072
AMANDA MICHELLE TRAVIS
CALVERT CITY, KY
NPI
1164679072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02143)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
Mrs. AMANDA MICHELLE TRAVIS PTA
10456 US HIGHWAY 62
CALVERT CITY, KY 42029
Phone number: 270-339-4670
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Mailing Address
Mrs. AMANDA MICHELLE TRAVIS PTA
184 DEXTER DRIVE
GILBERTSVILLE, KY 42044
Phone number: 270-339-4670
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