TRAVIS AARON WATERSON

JOPLIN, MO
NPI1801561170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2021027452)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
TRAVIS AARON WATERSON
201 S NORTHPARK LN
JOPLIN, MO 64801-8426
Phone number: 417-623-4313
Mailing Address
TRAVIS AARON WATERSON
3035 N KENTWOOD AVE APT A207
SPRINGFIELD, MO 65803-4573
Phone number: 417-257-4588
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