Individual
TRAVIS WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
S71W23325 NATIONAL AVE, SUITE 5, BIG BEND, WI 53103-9495
(262) 662-9775
(262) 662-9773
Mailing address
S71W23325 NATIONAL AVE, SUITE 5, BIG BEND, WI 53103-9495
(262) 662-9775
(262) 662-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5020-12
WI
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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