Individual
DR. TRAVIS STICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20370A TIMBERLAKE RD, LYNCHBURG, VA 24502-7213
(434) 238-0881
Mailing address
20370A TIMBERLAKE RD, LYNCHBURG, VA 24502-7213
(434) 238-0881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3963
RAILROAD MEDICARE UPIN
VA
01
—
P00057525
RAILROAD MEDICARE PIN
VA
Enumeration date
10/26/2006
Last updated
04/11/2017
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