Individual
PAUL HERMAN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3123 S 66TH ST, FORT SMITH, AR 72903-5005
(479) 484-1400
(479) 484-1400
Mailing address
3123 S 66TH ST, FORT SMITH, AR 72903-5005
(479) 484-1400
(479) 484-1400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
942
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105857-718
—
AR
Enumeration date
01/25/2006
Last updated
08/14/2013
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