Travis Ray Huffman PTA

NPI 1043467756 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1043467756
Gender Male
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
21964 US HIGHWAY 61
STE. GENEVIEVE MO, 63670, US
Phone (573) 883-9366
Fax (573) 883-9377
Business Location
21964 US HIGHWAY 61
STE. GENEVIEVE MO, 63670, US
Phone (573) 883-9366
Fax (573) 883-9377
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 2006026941
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According to our database, Mr. Travis Ray Huffman PTA NPI is 1043467756, taxonomy code is 225200000X and license number is 2006026941, license state is located at Missouri. Travis Ray Huffman PTA physically located at 21964 Us Highway 61, Ste. Genevieve MO, 63670. NPI Number Travis Ray Huffman PTA has the Individual type.

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1043467756 NPI number is provided on an as is basis without warranty of any kind. 1043467756 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Ray Huffman PTA are for informational purposes only.