Individual
CORD TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMHW-081
WY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/07/2025
Last updated
05/11/2026
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