Individual
TRAVIS TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(917) 531-7586
Mailing address
3421 RIVEROAD CT APT 2501, FORT WORTH, TX 76116-0686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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