Individual
TRAVIS GRONDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
Mailing address
3213 FENCE RIDER AVE, NORTH LAS VEGAS, NV 89031-5111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0832
NV
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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