JUSTIN THOMAS TRAVIS

ELIZABETHTOWN, KY
NPI1760644983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  005315)
Enumeration Date2008-06-29
Last Update Date2014-07-10
Business Address
-- JUSTIN THOMAS TRAVIS DPT
2624 RING RD SUITE 101
ELIZABETHTOWN, KY 42701-9118
Phone number: 270-900-4052
Mailing Address
-- JUSTIN THOMAS TRAVIS DPT
PO BOX 1559
ELIZABETHTOWN, KY 42702-1559
Phone number: 270-900-4052
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