TRAVIS BRIDGES

LEXINGTON, KY
NPI1508392044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: KY  04958)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-03
Last Update Date2024-05-31
Business Address
TRAVIS BRIDGES DO
101 N EAGLE CREEK DR
LEXINGTON, KY 40509-1806
Phone number: 859-275-4878
Mailing Address
TRAVIS BRIDGES DO
440 SQUIRES RD APT 3107
LEXINGTON, KY 40515-5613
Phone number: 859-322-2716