Individual
MR. TRAVIS WILLIAM MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2933 CHESTNUT RIDGE RD, MONTROSE, PA 18801-7976
(607) 429-8965
Mailing address
2933 CHESTNUT RIDGE RD, MONTROSE, PA 18801-7976
(607) 429-8965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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