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Individual
TRAVIS KISER
Active
Individual
TRAVIS KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2601001896
MI
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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