Travis Jeffrey Peacock LMT

NPI 1083931448 - Massage Therapist - 225700000X

NPI Details
NPI 1083931448
Gender Male
Enumeration Date 04/26/2010
Last Updated 04/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10100 US HIGHWAY 231
UTICA KY, 42376-9340, US
Phone (270) 925-0024
Fax
Business Location
10100 US HIGHWAY 231
UTICA KY, 42376-9340, US
Phone (270) 925-0024
Fax
Toxanomy
Taxonomy Code 225700000X
License State Kentucky
License Number KY3559
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According to our database, Mr. Travis Jeffrey Peacock LMT NPI is 1083931448, taxonomy code is 225700000X and license number is KY3559, license state is located at Kentucky. Travis Jeffrey Peacock LMT physically located at 10100 Us Highway 231, Utica KY, 42376-9340. NPI Number Travis Jeffrey Peacock LMT has the Individual type.

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1083931448 NPI number is provided on an as is basis without warranty of any kind. 1083931448 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Jeffrey Peacock LMT are for informational purposes only.