Individual
TRAVIS NATHAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1226 N MAIN ST, TOOELE, UT 84074-9540
(435) 843-1311
(435) 843-9846
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
350200-2401
UT
Other
Enumeration date
08/06/2008
Last updated
12/04/2012
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