Individual
TRAVIS DILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
460 S COLLEGE ST, WOODBURN, KY 42170-9738
(270) 529-2853
Mailing address
1260 KENILWOOD WAY APT 15, BOWLING GREEN, KY 42104-4873
(606) 271-8481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03477
KY
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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