Individual
MR. KENDALL TRAE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 237-8160
(434) 237-8161
Mailing address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 237-8160
(434) 237-8161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208170
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305208170
—
VA
Enumeration date
01/17/2014
Last updated
05/12/2023
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