Individual
TRAVIS NATHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 E CHATHAM ST STE 110, CARY, NC 27511-3495
(919) 466-9494
Mailing address
216 E CHATHAM ST STE 110, CARY, NC 27511-3495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15814
NC
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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