KEITH LYNN TRAVIS

GASTONIA, NC
NPI1699989830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0845)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
-- KEITH LYNN TRAVIS ATC
936 COX RD
GASTONIA, NC 28054-3456
Phone number: 704-913-3101
Mailing Address
-- KEITH LYNN TRAVIS ATC
2617 LYNN DR
GASTONIA, NC 28054-2870
Phone number: 704-823-0022
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