Individual
MR. TRAVIS STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E BROADWAY APT 416, GLENDALE, CA 91205-1090
(559) 737-8434
Mailing address
200 E BROADWAY APT 416, GLENDALE, CA 91205-1090
(559) 737-8434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72355
CA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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