Individual
TRAVIS WILLYERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 S GLENSTONE AVE STE M, SPRINGFIELD, MO 65804-1514
(417) 886-1131
Mailing address
1740 S GLENSTONE AVE STE M, SPRINGFIELD, MO 65804-1514
(417) 886-1131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012021080
MO
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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