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Individual
TRAVIS LAIRD
Active
Individual
TRAVIS LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60467127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329680
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
2038753
—
WA
Enumeration date
08/14/2014
Last updated
11/10/2017
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