# MR. TRAVIS SMARELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952863615
- **Gender:** Man
- **Credential:** MBA, MS, ATC, LAT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 36001887A | IN | Yes |

## Other

- **Enumeration date:** 04/02/2019
- **Last updated:** 04/02/2019