Individual
DR. TRAVIS STOUT THALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
138B S GREEN ST, HENDERSON, KY 42420
(270) 830-0070
Mailing address
138B S GREEN ST, HENDERSON, KY 42420-3539
(270) 830-0070
(270) 830-0070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5376
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100279150
—
KY
Enumeration date
09/02/2006
Last updated
05/09/2019
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