Individual
MR. TRAVIS ARTHUR MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA ATC
Contact information
Practice address
GEORGETOWN UNIVERSITY 37TH AND O ST NW, WASHINGTON, DC 20057-0001
(202) 687-2362
(202) 687-4117
Mailing address
18815 CROSS COUNTRY LN, GAITHERSBURG, MD 20879-4612
(908) 797-2530
(202) 687-4117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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