Individual
TRAVIS FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 OLD BRANDON RD APT 903, HILLSBORO, TX 76645-2394
(815) 791-0354
(815) 791-0354
Mailing address
400 OLD BRANDON RD APT 903, HILLSBORO, TX 76645-2394
(815) 791-0354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2017
Last updated
06/11/2017
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