Individual
MRS. KATELYN AMANDA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 642-0588
Mailing address
200 WINDRIDGE LN APT 5, FLORENCE, KY 41042-9422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7482
SC
225X00000X
Occupational Therapist
OT009812
GA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/06/2016
Last updated
04/02/2026
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