Individual
TRAVIS NEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 KARA CT, SUITE A-1, LIBERTY, MO 64068-1392
(816) 377-5141
Mailing address
2105 KARA CT, SUITE A-1, LIBERTY, MO 64068-1392
(816) 377-5141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003028762
LICENSE#
MO
01
—
MA1102001
MEDICARE PTAN
MO
Enumeration date
08/30/2006
Last updated
11/03/2018
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