Individual
MR. TRAVIS R ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W WARM SPRINGS RD, SUITE 129, HENDERSON, NV 89014-7633
(702) 547-0201
Mailing address
1481 W WARM SPRINGS RD, SUITE 129, HENDERSON, NV 89014-7633
(702) 547-0201
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
1701895704
NV
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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