Travis David Burt LMP

NPI 1003186693 - Specialist - 174400000X

NPI Details
NPI 1003186693
Gender Male
Enumeration Date 01/12/2012
Last Updated 01/12/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1838 PORTER ST
ENUMCLAW WA, 98022, US
Phone (206) 979-3160
Fax
Business Location
1838 PORTER ST
ENUMCLAW WA, 98022, US
Phone (206) 979-3160
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA60259571
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According to our database, Mr. Travis David Burt LMP NPI is 1003186693, taxonomy code is 174400000X and license number is MA60259571, license state is located at Washington. Travis David Burt LMP physically located at 1838 Porter St, Enumclaw WA, 98022. NPI Number Travis David Burt LMP has the Individual type.

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1003186693 NPI number is provided on an as is basis without warranty of any kind. 1003186693 is maintained by the National Plan & Provider Enumeration System. The contents of Travis David Burt LMP are for informational purposes only.