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Individual

MR. TRAVIS SPURLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
100 HIGHWAY 15 S STE 136, JACKSON, KY 41339-8636
(606) 693-9644
(606) 693-9643
Mailing address
PO BOX 1711, HAZARD, KY 41702-1711
(606) 436-5644

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1886
KY

Other

Enumeration date
10/21/2011
Last updated
10/21/2011
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