Individual
TRAVIS KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
1720 ABBEY RD STE A, EAST LANSING, MI 48823-6363
(517) 333-6692
(517) 333-6705
Mailing address
6922 CALSON DR, LANSING, MI 48911-6520
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2601001896
MI
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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