Individual
TRAVIS J TILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S ECONOMICS/HEALTH
Contact information
Practice address
840 NE 70TH ST, MIAMI, FL 33138-5714
(786) 972-9120
Mailing address
840 NE 70TH ST, MIAMI, FL 33138-5714
(786) 972-9120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/15/2013
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