Individual
TRAVIS RYAN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2668 E CITIZENS DR STE 5, FAYETTEVILLE, AR 72703-4796
(479) 442-7473
(479) 239-5444
Mailing address
4443 W MOUNT COMFORT RD, FAYETTEVILLE, AR 72704-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5292
AR
Other
Enumeration date
06/06/2018
Last updated
12/31/2024
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