Individual
ROBERT TRAVELSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22105 2ND PL W, BOTHELL, WA 98021-8294
(425) 487-2917
Mailing address
PO BOX 1101, BOTHELL, WA 98041-1101
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000263
WA
224P00000X
Prosthetist
Primary
PS00000264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9012188
—
WA
Enumeration date
08/07/2007
Last updated
10/27/2007
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