JACKSON TRAVIS SMART

URBANA, IL
NPI1598506420
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070028290)
Enumeration Date2024-06-04
Last Update Date2024-06-04
Business Address
Dr. JACKSON TRAVIS SMART PT, DPT
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-383-3311
Mailing Address
Dr. JACKSON TRAVIS SMART PT, DPT
2505 SOMERSET DR
URBANA, IL 61802-7675
Phone number: 217-979-1215
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