Individual
JUSTIN THOMAS TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2624 RING RD, SUITE 101, ELIZABETHTOWN, KY 42701-9118
(270) 900-4052
(270) 900-4054
Mailing address
PO BOX 1559, ELIZABETHTOWN, KY 42702-1559
(270) 900-4052
(270) 900-4054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005315
KY
Other
Enumeration date
06/29/2008
Last updated
07/10/2014
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