Individual
JEFFREY TRAVIS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4660 S HAGADORN RD STE 160, EAST LANSING, MI 48823-6804
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15634
WI
Other
Enumeration date
10/11/2021
Last updated
10/26/2022
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