Individual
DR. TRAVIS WILLIAM SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1220 N 200 W, ANGOLA, IN 46703
(260) 316-2942
Mailing address
1220 N 200 W, ANGOLA, IN 46703-7125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003038A
IN
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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