Individual
TRAVIS MALOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
E101 4TH STREET, BRODHEAD, WI 53520-2003
(608) 897-3010
(608) 897-3011
Mailing address
E101 4TH STREET, BRODHEAD, WI 53520-2003
(608) 897-3010
(608) 897-3011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5080-12
WI
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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