TRAVIS PACE

HAZLEHURST, MS
NPI1700283223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT5366)
Enumeration Date2014-11-26
Last Update Date2017-01-25
Business Address
-- TRAVIS PACE D.P.T.
236 CALDWELL DR
HAZLEHURST, MS 39083-2723
Phone number: 601-894-9004
Mailing Address
-- TRAVIS PACE D.P.T.
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: