Individual
TRAVIS MARTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1037 E 660TH AVE, MULBERRY, KS 66756-4103
(620) 238-6169
Mailing address
1037 E 660TH AVE, MULBERRY, KS 66756-4103
(620) 238-6169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03785
KS
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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