Individual
TRAVIS THOMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
622 STATE ROAD 136, BARABOO, WI 53913-9232
(608) 355-0555
Mailing address
622 STATE ROAD 136, BARABOO, WI 53913-9232
(608) 355-0555
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1269-060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42839300
—
WI
Enumeration date
10/09/2007
Last updated
01/14/2019
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