TRAVIS CHARLES SMITH

JACKSON, KY
NPI1477184869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A04016)
Enumeration Date2020-02-04
Last Update Date2020-02-04
Business Address
TRAVIS CHARLES SMITH
420 JETT DR
JACKSON, KY 41339-9621
Phone number: 606-666-2456
Mailing Address
TRAVIS CHARLES SMITH
420 JETT DR
JACKSON, KY 41339-9621
Phone number:
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