Individual
TRAVIS GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 CANVAS NETTIE RD, SUMMERSVILLE, WV 26651
(304) 661-5527
Mailing address
2129 CANVAS NETTIE RD, SUMMERSVILLE, WV 26651
(304) 661-5527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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