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1720507452
TRAVIS DAVIS
SPARTA, TN
NPI
1720507452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6631)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
TRAVIS DAVIS PTA
34 GRACEY ST
SPARTA, TN 38583-2046
Phone number: 931-836-2211
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Mailing Address
TRAVIS DAVIS PTA
34 GRACEY ST
SPARTA, TN 38583-2046
Phone number: 931-836-2211
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