Individual
MR. TRAVIS JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 512-6200
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 512-6200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002716
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126002716
VIRGINIA BOARD OF MEDICINE
VA
01
—
2000018863
NATABOC
NE
Enumeration date
01/04/2021
Last updated
01/04/2021
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