Individual
MR. TRAVIS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 ANSON ST, SALEM, IN 47167-1982
(812) 883-4681
Mailing address
9458 RAVEN LN, BLUE ASH, OH 45242-6749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004374A
IN
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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