Individual
AHNA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(541) 382-0479
Mailing address
1380 BELLEVUE WAY NE APT 7, BELLEVUE, WA 98004-3686
(907) 980-9424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60626143
WA
Other
Enumeration date
07/04/2017
Last updated
07/04/2017
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