Individual
TRAVIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
(931) 836-2230
Mailing address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
(931) 836-2230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6631
TN
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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