Travis Wood PTA

NPI 1255600516 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1255600516
Gender Male
Enumeration Date 12/15/2011
Last Updated 12/15/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
900 ANSON ST
SALEM IN, 47167-1982, US
Phone (812) 883-4681
Fax
Business Location
9458 RAVEN LN
BLUE ASH OH, 45242-6749, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Indiana
License Number 06004374A
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According to our database, Mr. Travis Wood PTA NPI is 1255600516, taxonomy code is 225200000X and license number is 06004374A, license state is located at Indiana. Travis Wood PTA physically located at 900 Anson St, Salem IN, 47167-1982. NPI Number Travis Wood PTA has the Individual type.

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1255600516 NPI number is provided on an as is basis without warranty of any kind. 1255600516 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Wood PTA are for informational purposes only.