Individual
TRAVIS WILLIAM PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
211 E LOGAN ST, SUITE 101, CALDWELL, ID 83605-4882
(208) 454-9839
(208) 454-0727
Mailing address
211 E LOGAN ST, SUITE 101, CALDWELL, ID 83605-4882
(208) 454-9839
(208) 454-0727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2083
ID
Other
Enumeration date
09/24/2007
Last updated
01/30/2008
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