Individual
LAURA MICHELLE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
6819 KINGSWOOD DR, INDIANAPOLIS, IN 46256-2343
(317) 842-7655
(317) 842-7655
Mailing address
6819 KINGSWOOD DR, INDIANAPOLIS, IN 46256-2343
(317) 842-7655
(317) 842-7655
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05006882A
IN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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