Individual
TRAVIS WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1784 ELKAHATCHEE RD, ALEXANDER CITY, AL 35010
(256) 329-0868
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3878
AL
224Z00000X
Occupational Therapy Assistant
Primary
4456
CA
Other
Enumeration date
02/07/2017
Last updated
07/12/2018
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