Individual
TRAVIS ENRIQUE CASTILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 296-8060
Mailing address
766 PARKWAY DR, NORTH SALT LAKE, UT 84054-2652
(801) 510-8626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8467836-1202
UT
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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