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Individual
TRAVIS GIESBRECHT
Active
Individual
TRAVIS GIESBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00321876
RR MEDICARE
GA
Enumeration date
07/07/2005
Last updated
10/22/2007
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