Individual
TRAVIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
5035 JOHNSON RD, GROVE CITY, OH 43123-4072
(614) 203-2715
Mailing address
5035 JOHNSON RD, GROVE CITY, OH 43123-4072
(614) 203-2715
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
IL02725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL02725
STATE LICENSE
OH
Enumeration date
02/14/2012
Last updated
03/04/2026
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