Individual
KOHTIE MARIELEE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3830 TIMBERLAKE DR, LAS VEGAS, NV 89115-0250
(702) 308-7217
Mailing address
3830 TIMBERLAKE DR, LAS VEGAS, NV 89115-0250
(702) 308-7217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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