Individual
BILLY CHARLES TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 CITY LGTS, PRESCOTT, AZ 86303-5958
(832) 439-3889
Mailing address
948 CITY LGTS, PRESCOTT, AZ 86303-5958
(832) 439-3889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13132
AZ
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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