Individual
MR. TRAVIS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1229 COUNTY FARM RD, BEDFORD, VA 24523-3131
(540) 586-7658
Mailing address
1114 GABLES DR APT 203, FOREST, VA 24551-4808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605347
VA
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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